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General NPI Number Information
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NPI Number | 1699530840
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Entity Type | Individual
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Provider Name | YOUSIF ABU AL SOOF DDS
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Gender | Male
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 103 W DOMINICK ST STE 20
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City | ROME
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State | NY
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Zip | 13440-5809
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Country | US
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Telephone | 213-410-7986
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Fax |
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Provider Business Mailing Address
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Address Line | 266 MCGINNIS CRESCENT
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City | MILTON
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State | ONTARIO
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Zip | L9T0N7
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Country | CA
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Telephone |
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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 | 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 #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 064798
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License Number State | NY
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