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General NPI Number Information
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NPI Number | 1013987197
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Entity Type | Individual
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Provider Name | HAIFAA T. YOUNIS M.D
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Gender | Female
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 2315 DOUGHERTY FERRY RD SUITE 109B
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City | SAINT LOUIS
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State | MO
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Zip | 63122
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Country | US
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Telephone | 314-965-5553
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Fax | 314-590-5972
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Provider Business Mailing Address
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Address Line | 2315 DOUGHERTY FERRY RD SUITE 109B
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City | SAINT LOUIS
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State | MO
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Zip | 63122
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Country | US
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Telephone | 314-965-5553
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Fax | 314-590-5972
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 105526
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License Number State | MO
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