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NPI 1851301204

NPI 1851301204 : DAVID YOUNG MD : FREDERICKSBURG, TX

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General NPI Number Information
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    NPI Number           |    1851301204
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID YOUNG MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/08/2006
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    Last Update Date     |    12/20/2022
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Provider Practice Location Address
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    Address Line         |    1020 S STATE HIGHWAY 16 
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    City                 |    FREDERICKSBURG
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    State                |    TX
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    Zip                  |    78624-4471
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    Country              |    US
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    Telephone            |    501-545-9910
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1020 S STATE HIGHWAY 16 
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    City                 |    FREDERICKSBURG
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    State                |    TX
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    Zip                  |    78624-4471
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    Country              |    US
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    Telephone            |    501-545-9910
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    E0011
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    License Number State |    AR
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    2019-02461
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    307784
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    License Number State |    NY
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Taxonomy #4
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    00041561
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    License Number State |    AL
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Taxonomy #5
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    35.136341
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    License Number State |    OH
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Taxonomy #6
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    29064
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    License Number State |    OK
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Taxonomy #7
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    036152980
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    License Number State |    IL
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Taxonomy #8
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    52754
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    License Number State |    SC
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Taxonomy #9
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    25MA11002300
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    License Number State |    NJ
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Taxonomy #10
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    18154
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    License Number State |    NH
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Taxonomy #11
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    56860
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    License Number State |    AZ
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Taxonomy #12
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    DR.0063249
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    License Number State |    CO
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Taxonomy #13
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    10285
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    License Number State |    SD
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Taxonomy #14
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    N4218
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    License Number State |    TX
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