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General NPI Number Information
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NPI Number | 1679705750
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Entity Type | Organization
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Legal Business Name | RONALD F YOUNG MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 08/21/2009
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Provider Practice Location Address
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Address Line | 3400 W BALL RD SUITE 101
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City | ANAHEIM
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State | CA
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Zip | 92804-3738
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Country | US
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Telephone | 714-816-8705
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Fax | 714-816-8707
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Provider Business Mailing Address
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Address Line | 3400 W BALL RD SUITE 101
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City | ANAHEIM
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State | CA
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Zip | 92804-3738
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Country | US
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Telephone | 714-816-8705
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Fax | 714-816-8707
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RONALD F YOUNG
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Credential | M.D.
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Telephone | 714-816-8705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | G13272B
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License Number State | CA
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