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NPI 1861555674

NPI 1861555674 : SCOTT F YOUNG AUD, CCC-A : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1861555674
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    Entity Type          |    Individual 
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    Provider Name        |    SCOTT F YOUNG AUD, CCC-A
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/19/2006
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    Last Update Date     |    02/24/2025
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Provider Practice Location Address
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    Address Line         |    6550 E 71ST ST STE 101 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74133-2767
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    Country              |    US
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    Telephone            |    918-388-6644
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5525 E 51ST ST # 500 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74135-7461
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    Country              |    US
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    Telephone            |    918-388-6644
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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        |    231HA2400X
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    Taxonomy Name        |    Assistive Technology Practitioner Audiologist
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    License Number       |    170
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    License Number State |    OK
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Taxonomy #2
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    170
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    License Number State |    OK
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