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General NPI Number Information
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NPI Number | 1083255616
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Entity Type | Organization
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Legal Business Name | YOUNIQUE SURGERY CENTER
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 1317 5TH ST STE 301
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City | SANTA MONICA
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State | CA
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Zip | 90401-1459
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Country | US
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Telephone | 310-434-0099
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Fax | 714-464-2222
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Provider Business Mailing Address
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Address Line | 1317 5TH ST STE 300
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City | SANTA MONICA
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State | CA
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Zip | 90401-1433
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Country | US
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Telephone | 310-434-0099
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Fax | 714-464-2222
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Authorized Official
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Title or Position | OWNER MANAGING EMPLOYEE
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Name | MARK MAGDY YOUSSEF
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Credential | M.D.
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Telephone | 310-434-0044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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