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General NPI Number Information
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NPI Number | 1215612262
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Entity Type | Individual
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Provider Name | YOUSTINA SAWIRIS DDS
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Gender | Female
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 895 7TH ST E
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City | SAINT PAUL
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State | MN
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Zip | 55106-3871
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Country | US
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Telephone | 651-602-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 403 5TH ST SE
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-1607
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Country | US
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Telephone | 702-601-9687
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D14926
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License Number State | MN
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