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General NPI Number Information
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NPI Number | 1194594192
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Entity Type | Individual
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Provider Name | PETER YOUSSEF DC
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Gender | Male
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Dates
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Enumeration Date | 01/01/2024
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Last Update Date | 01/01/2024
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Provider Practice Location Address
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Address Line | 783 FM 1187 E
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City | CROWLEY
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State | TX
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Zip | 76036-4346
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Country | US
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Telephone | 817-297-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 416 PIN OAK TRL
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City | KELLER
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State | TX
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Zip | 76248-5644
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13805
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License Number State | TX
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