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General NPI Number Information
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NPI Number | 1699793190
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Entity Type | Individual
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Provider Name | DAVID L YOUNG MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 700 OLYMPIC PLAZA CIR SUITE 510
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City | TYLER
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State | TX
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Zip | 75701-1951
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Country | US
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Telephone | 903-595-2636
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Fax | 903-595-5560
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Provider Business Mailing Address
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Address Line | 700 OLYMPIC PLAZA CIR SUITE 510
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City | TYLER
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State | TX
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Zip | 75701-1951
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Country | US
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Telephone | 903-595-2636
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Fax | 903-595-5560
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | K8591
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License Number State | TX
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