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General NPI Number Information
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NPI Number | 1730378365
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Entity Type | Organization
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Legal Business Name | BASSAM YOUSEF, MD PSC
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 07/19/2011
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Provider Practice Location Address
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Address Line | 110 3RD ST SUITE 370
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City | HENDERSON
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State | KY
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Zip | 42420-2993
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Country | US
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Telephone | 270-869-8376
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Fax | 270-869-8584
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Provider Business Mailing Address
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Address Line | 110 3RD ST SUITE 370
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City | HENDERSON
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State | KY
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Zip | 42420-2993
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Country | US
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Telephone | 270-869-8376
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Fax | 270-869-8584
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. BASSAM YOUSEF
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Credential | MD
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Telephone | 270-869-8376
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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 | KY31265
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License Number State | KY
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