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General NPI Number Information
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NPI Number | 1457057085
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Entity Type | Individual
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Provider Name | BRENNA YOUSSEF
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Gender | Female
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 6201 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-0001
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Country | US
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Telephone | 469-291-3363
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Fax |
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Provider Business Mailing Address
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Address Line | 11142 WELLSHIRE LN
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City | FRISCO
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State | TX
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Zip | 75035-3639
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Country | US
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Telephone | 972-363-5598
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1108693
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License Number State | TX
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