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General NPI Number Information
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NPI Number | 1902389174
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Entity Type | Individual
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Provider Name | LINDSEY KENNEDY YOUNG NP
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Gender | Female
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Dates
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Enumeration Date | 09/12/2018
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Last Update Date | 09/12/2018
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Provider Practice Location Address
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Address Line | 111 MICHIGAN AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20010-2916
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Country | US
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Telephone | 202-602-3809
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 NEW JERSEY AVE SE APT 814
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City | WASHINGTON
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State | DC
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Zip | 20003-3368
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Country | US
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Telephone | 617-851-3546
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN1017080
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License Number State | DC
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