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General NPI Number Information
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NPI Number | 1952037780
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Entity Type | Individual
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Provider Name | LINDSEY ANNE SLANEY YOUNG PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 18301 VON KARMAN AVE STE 310
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City | IRVINE
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State | CA
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Zip | 92612-0115
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Country | US
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Telephone | 949-645-3534
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Fax |
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Provider Business Mailing Address
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Address Line | 9928 CONTINENTAL DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-4229
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Country | US
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Telephone | 714-293-4383
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA64965
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License Number State | CA
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