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General NPI Number Information
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NPI Number | 1861559478
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Entity Type | Individual
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Provider Name | SCOTT C. YOUNG M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 1325 S KIHEI RD STE 103
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City | KIHEI
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State | HI
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Zip | 96753-8145
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Country | US
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Telephone | 808-495-5230
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Fax | 808-442-8143
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Provider Business Mailing Address
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Address Line | 726 KUMULANI DR
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City | KIHEI
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State | HI
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Zip | 96753-9227
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Country | US
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Telephone | 808-875-8563
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Fax | 808-442-8143
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 12928736
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 12928736
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | MD15288
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License Number State | HI
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