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General NPI Number Information
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NPI Number | 1376754903
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Entity Type | Individual
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Provider Name | HATIM YOUSSEF DO
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Gender | Male
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 3546 STATE ROUTE 27
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City | KENDALL PARK
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State | NJ
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Zip | 08824-1065
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Country | US
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Telephone | 732-737-7801
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Fax | 877-623-3456
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Provider Business Mailing Address
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Address Line | 2227 US HIGHWAY 1 # 277
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-4402
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Country | US
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Telephone | 732-737-7801
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | OS020253
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 25MB07711000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 25MBO7711000
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 25MB07711000
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License Number State | NJ
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