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General NPI Number Information
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NPI Number | 1568518967
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Entity Type | Organization
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Legal Business Name | BARBARA YOUNG DDS INC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3764 CLAIREMONT DRIVE
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City | SAN DIEGO
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State | CA
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Zip | 92117
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Country | US
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Telephone | 858-273-7777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12435
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City | LA JOLLA
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State | CA
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Zip | 92039-2435
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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 | PRESIDENT DENTIST
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Name | DR. BARBARA ANN YOUNG
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Credential | DDS
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Telephone | 858-273-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 035187
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License Number State | CA
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