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General NPI Number Information
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NPI Number | 1942695754
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Entity Type | Individual
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Provider Name | CHELSEA ANNE YOUNG MD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 06/09/2024
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Provider Practice Location Address
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Address Line | 655 REDWOOD HWY FRONTAGE RD
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City | MILL VALLEY
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State | CA
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Zip | 94941-3034
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Country | US
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Telephone | 628-245-3932
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Fax | 865-205-5228
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Provider Business Mailing Address
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Address Line | 655 REDWOOD HWY FRONTAGE RD STE 261
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City | MILL VALLEY
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State | CA
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Zip | 94941-3011
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Country | US
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Telephone | 628-245-3932
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Fax | 865-205-5228
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A143800
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A143800
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License Number State | CA
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