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General NPI Number Information
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NPI Number | 1598910838
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Entity Type | Individual
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Provider Name | GARRY LOUIS YOUNTS DC
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Gender | Male
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 06/28/2012
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Provider Practice Location Address
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Address Line | 2254 FLINT HILL DR #1
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City | DUBUQUE
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State | IA
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Zip | 52003-8097
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Country | US
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Telephone | 563-588-9776
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Fax |
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Provider Business Mailing Address
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Address Line | 106 CRESTVIEW DR.
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City | WEST BRANCH
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State | IA
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Zip | 52358
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Country | US
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Telephone | 319-936-6288
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 007122
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License Number State | IA
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