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General NPI Number Information
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NPI Number | 1811756760
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Entity Type | Individual
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Provider Name | JOSEPH M YOUNG
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Gender | Male
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Dates
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Enumeration Date | 03/14/2024
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 3777 DUTCHESS DR
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City | FRISCO
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State | TX
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Zip | 75034-1539
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Country | US
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Telephone | 214-223-9926
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Fax |
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Provider Business Mailing Address
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Address Line | 3245 MAIN ST. STE 135 PO BOX 140
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 469-224-0820
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 93597
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License Number State | TX
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