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General NPI Number Information
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NPI Number | 1528236965
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Entity Type | Individual
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Provider Name | CHARLES ROBERT YOUNG M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 25775 MCBEAN PKWY
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City | VALENCIA
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State | CA
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Zip | 91355-3708
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Country | US
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Telephone | 661-424-8830
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Fax | 661-424-8831
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Provider Business Mailing Address
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Address Line | PO BOX 9602
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City | MISSION HILLS
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State | CA
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Zip | 91346-9602
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Country | US
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Telephone | 818-837-5637
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Fax | 818-837-5589
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A89031
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | A89031
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License Number State | CA
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