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General NPI Number Information
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NPI Number | 1609156868
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Entity Type | Individual
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Provider Name | TRACY BAPTISTE YOUNGSTON LPN
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Gender | Female
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 4150 CLEMENT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-1563
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Country | US
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Telephone | 415-221-4810
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6965
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City | SAN PABLO
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State | CA
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Zip | 94806-6965
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Country | US
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Telephone | 904-207-4709
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11008906
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95016639
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9358434
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN5189942
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License Number State | FL
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