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General NPI Number Information
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NPI Number | 1215824719
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Entity Type | Individual
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Provider Name | MONICA YOUSSEF DMD
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 35979 N GARY RD STE 104
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-5750
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Country | US
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Telephone | 480-845-0767
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Fax |
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Provider Business Mailing Address
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Address Line | 1690 S SAN TAN VILLAGE PKWY APT 2016
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City | GILBERT
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State | AZ
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Zip | 85295-8427
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Country | US
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Telephone | 925-565-9941
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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 | D012552
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License Number State | AZ
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