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General NPI Number Information
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NPI Number | 1154027258
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Entity Type | Individual
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Provider Name | ROWAN YOUSSEF
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Gender | Female
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 1411 E 31ST ST
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City | OAKLAND
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State | CA
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Zip | 94602-1018
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Country | US
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Telephone | 510-437-4114
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Fax |
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Provider Business Mailing Address
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Address Line | 4403 RECREATION RD
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City | CASTRO VALLEY
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State | CA
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Zip | 94552-5522
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Country | US
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Telephone | 510-396-8442
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 62448
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License Number State | CA
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