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General NPI Number Information
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NPI Number | 1295990067
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Entity Type | Individual
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Provider Name | MOBEEN YOUSAF MD
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Gender | Male
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 301 PROSPECT AVE.
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City | SYRACUSE
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State | NY
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Zip | 13203
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Country | US
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Telephone | 315-299-5451
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Fax | 855-851-4405
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Provider Business Mailing Address
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Address Line | 17 THOMAS GRV
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City | PITTSFORD
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State | NY
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Zip | 14534-3069
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Country | US
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Telephone | 585-754-3211
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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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 263554
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 263554-1
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License Number State | NY
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