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Individual
DR. SUE NIMER YOUNG
Active
Individual
DR. SUE NIMER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4655
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009983265
—
AL
05
—
149156
—
AL
01
—
51136461
BCBS
AL
01
—
51527605
BLUE CROSS ID NUMBER
AL
05
—
529922420
—
AL
01
—
839665
UNITED CONCORDIA
AL
01
—
996722
OHS ID NUMBER
AL
Enumeration date
08/19/2006
Last updated
05/21/2014
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