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General NPI Number Information
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NPI Number | 1184087843
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Entity Type | Individual
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Provider Name | GHEITH YOUSIF MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 5032 ROCHESTER RD STE 200
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City | TROY
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State | MI
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Zip | 48085-3493
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Country | US
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Telephone | 248-250-9029
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Fax | 248-250-9733
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Provider Business Mailing Address
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Address Line | 5032 ROCHESTER RD STE 200
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City | TROY
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State | MI
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Zip | 48085-3493
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Country | US
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Telephone | 248-250-9029
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Fax | 248-250-9733
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.134421
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License Number State | OH
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