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General NPI Number Information
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NPI Number | 1801906987
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Entity Type | Individual
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Provider Name | PATRICE DANITA YOUNG MSN, PMHCNS, BC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/17/2016
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Provider Practice Location Address
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Address Line | 1901 E MAIN ST
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City | RICHMOND
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State | IN
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Zip | 47374-5707
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Country | US
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Telephone | 765-935-7284
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Fax | 765-935-5002
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Provider Business Mailing Address
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Address Line | 1901 E MAIN ST
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City | RICHMOND
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State | IN
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Zip | 47374-5707
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Country | US
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Telephone | 765-935-7284
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Fax | 765-935-5002
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 70000093A
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License Number State | IN
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