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General NPI Number Information
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NPI Number | 1942505995
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Entity Type | Individual
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Provider Name | JAMES LESLIE YOUNGHUSBAND JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 06/28/2019
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Provider Practice Location Address
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Address Line | 323 S. BRYAN-BELTLINE
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City | MESQUITE
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State | TX
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Zip | 75149-4663
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Country | US
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Telephone | 972-288-2225
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Fax | 972-288-6311
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Provider Business Mailing Address
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Address Line | 323 S. BRYAN-BELTLINE
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City | MESQUITE
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State | TX
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Zip | 75149-4663
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Country | US
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Telephone | 972-288-2225
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Fax | 972-288-6311
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 5271
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12511
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License Number State | TX
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