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General NPI Number Information
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NPI Number | 1255449112
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Entity Type | Individual
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Provider Name | SHERIF ZAGHLOUL YACOUB MD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 3510 N HIGHWAY 17 STE 220
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City | MT PLEASANT
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State | SC
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Zip | 29466-8245
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Country | US
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Telephone | 843-724-2011
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Fax | 843-606-7991
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Provider Business Mailing Address
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Address Line | PO BOX 751649
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City | CHARLOTTE
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State | NC
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Zip | 28275-1649
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Country | US
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Telephone | 888-472-0043
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 24928
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License Number State | SC
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