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General NPI Number Information
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NPI Number | 1780763235
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Entity Type | Individual
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Provider Name | VICKY LYNN YOUNG M.D., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3225 BUSINESS PARK DR SUITE 1
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City | VISTA
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State | CA
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Zip | 92081-8548
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Country | US
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Telephone | 760-940-5480
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Fax | 760-597-5739
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Provider Business Mailing Address
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Address Line | 1844 HIGH RIDGE AVE
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City | CARLSBAD
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State | CA
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Zip | 92008-3759
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Country | US
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Telephone | 760-720-0104
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | G855 35
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License Number State | CA
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