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General NPI Number Information
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NPI Number | 1043233687
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Entity Type | Individual
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Provider Name | JOSEPH SOLIMAN WASSEF M.D., P.C.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 2010 SYBIL LN STE 150
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City | TYLER
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State | TX
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Zip | 75703-1830
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Country | US
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Telephone | 903-504-5459
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Fax | 903-504-5460
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Provider Business Mailing Address
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Address Line | 2010 SYBIL LN STE 150
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City | TYLER
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State | TX
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Zip | 75703-1830
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Country | US
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Telephone | 903-504-5459
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Fax | 903-504-5460
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | J2468
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | J2468
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License Number State | TX
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