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General NPI Number Information
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NPI Number | 1588196984
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Entity Type | Individual
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Provider Name | JIMMY YOUNG MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 11511 NE 10TH ST
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City | BELLEVUE
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State | WA
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Zip | 98004-8578
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Country | US
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Telephone | 425-502-3000
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Fax | 844-620-1839
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Provider Business Mailing Address
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Address Line | 9801 FRONTIER AVE SE
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City | SNOQUALMIE
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State | WA
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Zip | 98065-5200
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Country | US
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Telephone | 425-831-2300
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD61154207
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License Number State | WA
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