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General NPI Number Information
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NPI Number | 1063839751
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Entity Type | Individual
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Provider Name | HANY YOUSSEF DDS,MS
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Gender | Male
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 455 S C ST
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City | OXNARD
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State | CA
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Zip | 93030-5917
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Country | US
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Telephone | 949-394-5866
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Fax |
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Provider Business Mailing Address
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Address Line | 4915 DEMPSEY AVE
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City | ENCINO
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State | CA
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Zip | 91436-1678
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Country | US
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Telephone | 949-394-5866
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 61153
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License Number State | CA
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