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General NPI Number Information
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NPI Number | 1821302183
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Entity Type | Individual
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Provider Name | ELISABETH HELEN YOUNG M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 04/11/2013
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Provider Practice Location Address
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Address Line | 5190 MARKET ST
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-2131
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Country | US
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Telephone | 330-788-1992
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Fax | 330-788-1998
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Provider Business Mailing Address
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Address Line | 3415 CANDY WOODS DR
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City | POLAND
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State | OH
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Zip | 44514-2289
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Country | US
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Telephone | 330-707-9007
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Fax | 330-758-8995
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35-05-4833
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 35-05-4833
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 35-05-4833
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License Number State | OH
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