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General NPI Number Information
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NPI Number | 1942613252
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Entity Type | Individual
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Provider Name | LORRIE LORRAINE YOUNGS CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | G3169 BEECHER RD STE 100
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City | FLINT
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State | MI
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Zip | 48532-3611
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Country | US
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Telephone | 810-620-0250
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Fax | 810-620-0255
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Provider Business Mailing Address
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Address Line | 14154 RUBY LN
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City | BIG RAPIDS
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State | MI
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Zip | 49307-8903
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Country | US
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Telephone | 989-773-5921
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Fax | 989-773-4319
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | NP0033386
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License Number State | PA
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