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General NPI Number Information
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NPI Number | 1881492544
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Entity Type | Individual
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Provider Name | MARIANA YOUNG MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 1160 CYPRESS GLEN CIR
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City | KISSIMMEE
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State | FL
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Zip | 34741-7560
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Country | US
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Telephone | 407-518-1074
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Fax |
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Provider Business Mailing Address
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Address Line | 2530 CUYLER ST
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City | MIMS
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State | FL
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Zip | 32754-4310
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Country | US
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Telephone | 813-731-5319
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11038000
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License Number State | FL
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