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General NPI Number Information
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NPI Number | 1639330475
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Entity Type | Individual
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Provider Name | SAMUEL JOHN YOUSSEF MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 1600 E JEFFERSON ST SUITE 110
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City | SEATTLE
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State | WA
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Zip | 98122-5698
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Country | US
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Telephone | 206-320-7300
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Fax | 206-320-4698
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Provider Business Mailing Address
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Address Line | PO BOX 25608
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0608
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Country | US
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Telephone | 206-320-4476
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Fax | 206-568-7043
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ML20008340
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD 6014714
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License Number State | WA
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