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General NPI Number Information
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NPI Number | 1720072333
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Entity Type | Individual
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Provider Name | JEFFREY MILTON YOUNG M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 11/15/2009
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Provider Practice Location Address
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Address Line | 360 S LOLA LN
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City | PAHRUMP
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State | NV
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Zip | 89048-0884
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Country | US
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Telephone | 775-751-7561
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Fax |
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Provider Business Mailing Address
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Address Line | 1659 SENTIERO DELLA VILLA
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City | SANTA FE
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State | NM
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Zip | 87506-4502
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Country | US
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Telephone | 505-920-0488
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Fax | 858-832-8163
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A34567
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 6126
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD2006-0062
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD13719
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License Number State | HI
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