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General NPI Number Information
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NPI Number | 1942273875
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Entity Type | Individual
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Provider Name | PATRICIA JULIE YOUNG PT, D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 218 BIRNAM RD
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City | NORTHFIELD
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State | MA
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Zip | 01360-9526
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Country | US
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Telephone | 413-387-0722
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Fax |
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Provider Business Mailing Address
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Address Line | 218 BIRNAM RD
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City | NORTHFIELD
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State | MA
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Zip | 01360-9526
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Country | US
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Telephone | 413-387-0722
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 007771
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 007771
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 17287
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License Number State | MA
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