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General NPI Number Information
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NPI Number | 1548515182
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Entity Type | Individual
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Provider Name | PAULA MARIE YOUNG NP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 462 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-9196
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Country | US
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Telephone | 212-562-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 2514 APPLETON LN
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City | BOWIE
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State | MD
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Zip | 20716-1568
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Country | US
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Telephone |
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Fax |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN962963
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN962963
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F334596-01
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License Number State | NY
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