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General NPI Number Information
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NPI Number | 1851602791
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Entity Type | Individual
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Provider Name | COLE DAVID YOUNG PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 1840 PARKWAY
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City | SEVIERVILLE
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State | TN
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Zip | 37862-7006
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Country | US
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Telephone | 865-429-3954
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Fax |
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Provider Business Mailing Address
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Address Line | 2031 BILL HICKS DR
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City | SEYMOUR
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State | TN
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Zip | 37865-4496
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Country | US
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Telephone | 772-359-6573
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0000033859
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License Number State | TN
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