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General NPI Number Information
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NPI Number | 1891815650
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Entity Type | Organization
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Legal Business Name | GREGORY D. YOUNG, DC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 SE 1ST ST
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City | ANDREWS
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State | TX
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Zip | 79714-7115
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Country | US
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Telephone | 432-524-5580
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Fax | 432-524-5583
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Provider Business Mailing Address
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Address Line | 200 SE 1ST ST
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City | ANDREWS
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State | TX
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Zip | 79714-7115
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Country | US
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Telephone | 432-524-5580
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Fax | 432-524-5583
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY DOUGLAS YOUNG
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Credential | DC
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Telephone | 432-524-5580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8662
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License Number State | TX
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