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General NPI Number Information
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NPI Number | 1578510855
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Entity Type | Individual
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Provider Name | LINDA L YOUNG NP
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Gender | Female
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 122 WYOMING ST
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City | DAYTON
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State | OH
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Zip | 45409
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Country | US
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Telephone | 937-223-4461
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Fax | 937-449-7603
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Provider Business Mailing Address
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Address Line | 3170 KETTERING BLVD BLDG. B, 2ND FLOOR
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City | MORAINE
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State | OH
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Zip | 45439-1924
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Country | US
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Telephone | 937-991-3188
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.07353
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP07353
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | COA.07353-NP
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License Number State | OH
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