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General NPI Number Information
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NPI Number | 1558529131
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Entity Type | Organization
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Legal Business Name | W DENNIS YOUNG MD PA
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 3032 TEMPLE TRL
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City | WINTER PARK
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State | FL
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Zip | 32789-1166
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Country | US
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Telephone | 407-629-2687
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Fax | 407-628-0288
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Provider Business Mailing Address
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Address Line | 3032 TEMPLE TRL
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City | WINTER PARK
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State | FL
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Zip | 32789-1166
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Country | US
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Telephone | 407-629-2687
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Fax | 407-628-0288
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM DENNIS YOUNG
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Credential | M.D.
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Telephone | 407-629-2687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME44342
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License Number State | FL
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