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Individual
JAMES YOUNG
Active
Individual
JAMES YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000000
NY
183500000X
Pharmacist
4444444
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1111111
CERTIFED DIABETIC COUNSELOR
NY
05
—
5555555
—
NY
Enumeration date
03/08/2010
Last updated
03/08/2010
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