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General NPI Number Information
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NPI Number | 1801600523
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Entity Type | Individual
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Provider Name | YOUSSEF DJEBBARI
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Gender | Male
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 7900 SUDLEY RD STE 376
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City | MANASSAS
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State | VA
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Zip | 20109-2886
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Country | US
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Telephone | 703-568-2559
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Fax | 855-853-6635
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Provider Business Mailing Address
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Address Line | 7900 SUDLEY RD STE 376
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City | MANASSAS
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State | VA
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Zip | 20109-2886
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Country | US
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Telephone | 703-568-2559
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Fax | 855-853-6635
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO-005691
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | HCO-005691
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | HCO-005691
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | HCO-005691
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number | HCO-005691
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HCO-005691
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License Number State | VA
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