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General NPI Number Information
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NPI Number | 1891792909
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Entity Type | Individual
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Provider Name | BRYAN J O'YOUNG M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 480 CENTRAL RD
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City | BLOOMSBURG
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State | PA
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Zip | 17815-3121
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Country | US
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Telephone | 570-387-6150
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Fax | 570-387-6185
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-4903
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Country | US
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Telephone | 570-387-6150
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Fax | 570-387-6185
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | MD454395
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License Number State | PA
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