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General NPI Number Information
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NPI Number | 1932563665
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Entity Type | Individual
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Provider Name | DANIELLE YOUNG
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Gender | Female
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 250 POND ST
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City | BRAINTREE
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State | MA
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Zip | 02184-5351
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Country | US
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Telephone | 781-348-2482
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Fax |
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Provider Business Mailing Address
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Address Line | 30 WINDSOR DR
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City | WHITMAN
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State | MA
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Zip | 02382-1050
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Country | US
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Telephone | 781-254-6162
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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 | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | RN2286294
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License Number State | MA
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