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General NPI Number Information
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NPI Number | 1780178822
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Entity Type | Individual
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Provider Name | YUSUF SHEIKH DMD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 09/24/2023
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Provider Practice Location Address
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Address Line | 1046 WESTERN AVE STE 1
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City | BRATTLEBORO
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State | VT
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Zip | 05301-2513
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Country | US
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Telephone | 802-230-0110
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Fax |
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Provider Business Mailing Address
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Address Line | 2 TRAIL RUN APT 3202
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City | VERNON
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State | CT
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Zip | 06066-3973
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Country | US
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Telephone | 817-217-5884
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 2.013571
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 016.0134160
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License Number State | VT
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