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General NPI Number Information
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NPI Number | 1548206840
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Entity Type | Individual
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Provider Name | SYED A YUSOOF MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 10501 GATEWAY BLVD W STE 105
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City | EL PASO
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State | TX
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Zip | 79925-7929
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Country | US
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Telephone | 915-533-0406
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 220449
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City | EL PASO
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State | TX
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Zip | 79913-2449
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Country | US
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Telephone | 915-533-0406
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Fax | 915-532-1394
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J8176
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J8176
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License Number State | TX
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