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General NPI Number Information
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NPI Number | 1922916204
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Entity Type | Individual
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Provider Name | TAMMY JEAN YOUNG NP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 125 E MAXWELL ST
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City | LEXINGTON
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State | KY
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Zip | 40508-2678
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Country | US
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Telephone | 859-323-0005
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Fax | 859-323-0790
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Provider Business Mailing Address
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Address Line | 1085 CRIMSON CREEK DR
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City | LEXINGTON
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State | KY
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Zip | 40509-2386
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Country | US
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Telephone | 859-806-7728
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 4058910
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License Number State | KY
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