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General NPI Number Information
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NPI Number | 1558872358
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Entity Type | Individual
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Provider Name | ANDREA DENISE YOUNG PMHNP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line |
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City |
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State |
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Zip |
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Country | US
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 401 south avenue
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City | cincinnati
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State | OH
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Zip | 45215
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Country | US
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Telephone | 5135448813
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Fax | 5136797908
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.026078
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License Number State | OH
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