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General NPI Number Information
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NPI Number | 1992890552
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Entity Type | Individual
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Provider Name | TRACY LYNN YOUNG D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 1508 CHARLTON STREET
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City | COLUMBIA
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State | SC
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Zip | 29203
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Country | US
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Telephone | 803-917-1424
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Fax |
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Provider Business Mailing Address
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Address Line | 2908 DEVINE ST
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City | COLUMBIA
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State | SC
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Zip | 29205-1842
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Country | US
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Telephone | 803-497-3860
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 1701
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License Number State | SC
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