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General NPI Number Information
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NPI Number | 1952572745
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Entity Type | Organization
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Legal Business Name | CHARLES M YOUNGER MD
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 2000 WEST CUTHBERT AVE
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City | MIDLAND
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State | TX
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Zip | 79701
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Country | US
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Telephone | 432-684-5848
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Fax | 432-684-8017
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Provider Business Mailing Address
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Address Line | 2000 WEST CUTHBERT
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City | MIDLAND
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State | TX
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Zip | 79701
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Country | US
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Telephone | 432-684-5848
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Fax | 432-684-8017
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES M YOUNGER
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Credential | M.D.
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Telephone | 432-684-5848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D5259
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License Number State | TX
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