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General NPI Number Information
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NPI Number | 1700965084
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Entity Type | Organization
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Legal Business Name | DR YOUNKINS & ASSOCIATES
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 205 E BEAVER AVENUE SUITE 4
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City | STATE COLLEGE
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State | PA
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Zip | 16801-4903
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Country | US
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Telephone | 814-238-5252
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Fax | 814-238-5756
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Provider Business Mailing Address
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Address Line | 205 E BEAVER AVENUE SUITE 4
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City | STATE COLLEGE
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State | PA
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Zip | 16801-4903
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Country | US
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Telephone | 814-238-5252
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Fax | 814-238-5756
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Authorized Official
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Title or Position | PRESIDENT
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Name | GLENN D YOUNKINS
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Credential | PHARM D DDS
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Telephone | 814-238-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS030985L
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License Number State | PA
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