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General NPI Number Information
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NPI Number | 1851360457
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Entity Type | Individual
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Provider Name | JOHN WINERICH YOUNG JR. M.D., P.A.
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Gender | Male
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 118 N N ST
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City | MIDLAND
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State | TX
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Zip | 79701-6409
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Country | US
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Telephone | 432-685-3161
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Fax | 432-685-3420
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Provider Business Mailing Address
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Address Line | 118 N N ST
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City | MIDLAND
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State | TX
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Zip | 79701-6409
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Country | US
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Telephone | 432-685-3161
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Fax | 432-685-3420
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D7374
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License Number State | TX
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