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General NPI Number Information
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NPI Number | 1760462162
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Entity Type | Individual
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Provider Name | IRENE PEREZ YOUNG
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Gender | Female
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 5501 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539-5503
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Country | US
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Telephone | 956-661-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 S GARNETT RD STE 300
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City | TULSA
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State | OK
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Zip | 74146-5229
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Country | US
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Telephone |
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036146549
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2017044649
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L4642
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License Number State | TX
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