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General NPI Number Information
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NPI Number | 1831051440
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Entity Type | Individual
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Provider Name | TEARA NICOLE YOUNG MSN, MBA, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 24100 CHAGRIN BLVD STE 125
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City | BEACHWOOD
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State | OH
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Zip | 44122-5535
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Country | US
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Telephone | 833-254-3278
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Fax | 800-879-1741
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Provider Business Mailing Address
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Address Line | 8584 WASHINGTON ST STE 2023
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City | CHAGRIN FALLS
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State | OH
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Zip | 44023-5305
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Country | US
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Telephone | 216-300-7500
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Fax | 216-300-1900
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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 | 2025060922
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License Number State | OH
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