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General NPI Number Information
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NPI Number | 1982657110
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Entity Type | Individual
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Provider Name | CHERYL YOUNG PT
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 5201 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37919-5026
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Country | US
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Telephone | 865-770-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 10910 KINGSTON PIKE SUITE 107
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City | KNOXVILLE
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State | TN
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Zip | 37934-2948
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Country | US
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Telephone | 865-342-7823
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Fax | 865-342-7824
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 761
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License Number State | TN
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