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General NPI Number Information
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NPI Number | 1952794828
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Entity Type | Organization
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Legal Business Name | ROBERT YOUNG MD
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Dates
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Enumeration Date | 03/16/2015
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Last Update Date | 03/16/2015
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Provider Practice Location Address
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Address Line | 4617 CRESTWOOD DR
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City | LITTLE ROCK
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State | AR
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Zip | 72207
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Country | US
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Telephone | 501-680-1176
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Fax |
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Provider Business Mailing Address
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Address Line | 4617 CRESTWOOD DR
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City | LITTLE ROCK
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State | AR
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Zip | 72207
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Country | US
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Telephone | 501-680-1176
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT P YOUNG
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Credential | MD
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Telephone | 501-680-1176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | C-5255
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License Number State | AR
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