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General NPI Number Information
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NPI Number | 1770553711
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Entity Type | Individual
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Provider Name | CATHERINE O YOUNG DDS
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 07/21/2024
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Provider Practice Location Address
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Address Line | 975 VETERANS BLVD
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City | REDWOOD CITY
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State | CA
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Zip | 94063-1714
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Country | US
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Telephone | 650-480-5465
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 ELKHORN CT UNIT 409
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City | SAN MATEO
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State | CA
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Zip | 94403-2386
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Country | US
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Telephone | 732-710-6499
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02129700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS56639
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License Number State | CA
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