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General NPI Number Information
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NPI Number | 1790910420
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Entity Type | Individual
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Provider Name | CHRISTOPHER DANIEL YOUNG DO
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Gender | Male
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 2800 BLUE RIDGE RD STE 300
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City | RALEIGH
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State | NC
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Zip | 27607-6476
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Country | US
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Telephone | 919-784-7874
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Fax |
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Provider Business Mailing Address
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Address Line | RAF LAKENHEATH 48 MDG/SGHC UNIT 5115
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City | APO
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State | AE
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Zip | 09461-5115
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | C2-0010875
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2020-03262
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License Number State | NC
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