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General NPI Number Information
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NPI Number | 1861067654
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Entity Type | Individual
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Provider Name | SHARDAY TIERRIA YOUNG MD
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Gender | Female
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 06/30/2024
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Provider Practice Location Address
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Address Line | 1600 MEDICAL CENTER DR STE 2624
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City | HUNTINGTON
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State | WV
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Zip | 25701-3656
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Country | US
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Telephone | 304-691-1282
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Fax | 304-691-1287
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Provider Business Mailing Address
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Address Line | 1600 MEDICAL CENTER DR STE 2624
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City | HUNTINGTON
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State | WV
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Zip | 25701-3656
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Country | US
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Telephone | 910-337-5022
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Fax | 724-324-9005
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | PA
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