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General NPI Number Information
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NPI Number | 1982596870
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Entity Type | Organization
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Legal Business Name | WHITNEY M YOUNG JR HEALTH CENTER INC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 920 LARK DR
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City | ALBANY
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State | NY
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Zip | 12207-1300
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Country | US
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Telephone | 518-694-8522
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Fax |
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Provider Business Mailing Address
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Address Line | 920 LARK DR
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City | ALBANY
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State | NY
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Zip | 12207-1300
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | ROBERT COYLE
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Credential |
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Telephone | 518-591-4453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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