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General NPI Number Information
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NPI Number | 1770165706
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Entity Type | Individual
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Provider Name | SAMI HOUSSIN HOURIEH MD
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Gender | Male
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 18598 BUSINESS 13
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City | BRANSON WEST
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State | MO
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Zip | 65737-9659
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Country | US
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Telephone | 417-272-8497
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 23RD AVE
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City | GREELEY
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State | CO
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Zip | 80634-6070
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Country | US
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Telephone | 970-810-2815
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0069665
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2023045060
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License Number State | MO
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