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General NPI Number Information
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NPI Number | 1215890801
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Entity Type | Individual
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Provider Name | DR. FADY SHAWKY REIAD YOUSSEF
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Gender | Male
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 3991 WHITE PLAINS RD
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City | BRONX
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State | NY
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Zip | 10466-3001
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Country | US
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Telephone | 718-618-0401
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Fax |
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Provider Business Mailing Address
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Address Line | 1808-1000 CASTLE HILL CRESCENT, OTTAWA, ON., CANADA
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City | OTTAWA
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State | ONTARIO
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Zip | K2C3L7
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Country | CA
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 332971
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License Number State | NY
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