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General NPI Number Information
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NPI Number | 1578732988
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Entity Type | Individual
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Provider Name | DALTON YOUNG
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Gender | Male
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 492 ROUTE 57 WEST FAMILY GUIDANCE CENTER OF WARREN COUNTY
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City | WASHINGTON
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State | NJ
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Zip | 07882
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Country | US
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Telephone | 908-689-1000
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Fax | 908-689-4529
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Provider Business Mailing Address
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Address Line | 2042 SCENIC VIEW LN APT 6B
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City | HELLENTOWN
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State | PA
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Zip | 18055
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Country | US
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Telephone | 610-838-1520
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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