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General NPI Number Information
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NPI Number | 1982347043
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Entity Type | Individual
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Provider Name | KAYLEE ANNE YOUNG DMD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2022
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 850 LAKELAND DR
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-1687
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Country | US
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Telephone | 801-792-4410
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 N SAINT JOSEPH AVE
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City | MARSHFIELD
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State | WI
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Zip | 54449-1340
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Country | US
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Telephone | 801-792-4410
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 6001739-15
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License Number State | WI
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