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General NPI Number Information
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NPI Number | 1558645598
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Entity Type | Individual
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Provider Name | ELIZABETH ANN YOUNG RPH
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Gender | Female
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 2015 STATE ST
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City | NEW ALBANY
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State | IN
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Zip | 47150-4921
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Country | US
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Telephone | 812-945-0535
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Fax | 812-945-8249
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Provider Business Mailing Address
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Address Line | 5775 CRANDALL LANESVILLE RD NE
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City | GEORGETOWN
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State | IN
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Zip | 47122-7722
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Country | US
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Telephone | 812-945-0535
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Fax | 812-945-8249
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26015329A
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License Number State | IN
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