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General NPI Number Information
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NPI Number | 1700028164
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Entity Type | Organization
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Legal Business Name | DAVID YOUNGER, PC
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 2801 CEDARVIEW DR
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City | AUSTIN
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State | TX
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Zip | 78704-4606
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Country | US
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Telephone | 914-330-6463
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 CEDARVIEW DR
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City | AUSTIN
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State | TX
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Zip | 78704-4606
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Country | US
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Telephone | 914-330-6463
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. DAVID BATKIN YOUNGER
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Credential | PHD
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Telephone | 914-330-6463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 36218
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License Number State | TX
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