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General NPI Number Information
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NPI Number | 1609199629
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Entity Type | Individual
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Provider Name | BRANDON L YOUNG NP
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Gender | Female
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1717 W COWLES ST
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City | FAIRBANKS
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State | AK
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Zip | 99701-5926
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Country | US
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Telephone | 907-451-6682
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 W COWLES ST
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City | FAIRBANKS
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State | AK
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Zip | 99701-5926
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Country | US
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Telephone | 907-451-6682
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 146976
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License Number State | MT
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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 | AP61679812
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R874330
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License Number State | MS
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