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NPI 1952308421

NPI 1952308421 : WILLIAM M. YOUNG M.D.. : CROSSVILLE, TN

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General NPI Number Information
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    NPI Number           |    1952308421
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM M. YOUNG M.D..
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/30/2005
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    Last Update Date     |    01/27/2025
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Provider Practice Location Address
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    Address Line         |    49 CLEVELAND ST STE 350 
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    City                 |    CROSSVILLE
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    State                |    TN
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    Zip                  |    38555-2898
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    Country              |    US
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    Telephone            |    931-459-7720
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    Fax                  |    865-374-2113
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Provider Business Mailing Address
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    Address Line         |    49 CLEVELAND ST STE 350 
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    City                 |    CROSSVILLE
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    State                |    TN
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    Zip                  |    38555-2898
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    Country              |    US
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    Telephone            |    931-459-7720
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    Fax                  |    865-374-2113
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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        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    35014
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    License Number State |    TN
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