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General NPI Number Information
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NPI Number | 1598853889
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Entity Type | Organization
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Legal Business Name | SAMINA YOUSUF MD PC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 383 HIGHLAND DR
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City | LEBANON
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State | VA
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Zip | 24266-4632
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Country | US
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Telephone | 276-889-0433
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Fax | 276-889-5537
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Provider Business Mailing Address
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Address Line | PO BOX 128
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City | LEBANON
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State | VA
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Zip | 24266-0128
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Country | US
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Telephone | 276-889-0433
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Fax | 276-889-5537
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Authorized Official
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Title or Position | OWNER
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Name | SAMINA YOUSUF
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Credential | MD
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Telephone | 276-889-0433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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