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General NPI Number Information
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NPI Number | 1821450115
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Entity Type | Individual
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Provider Name | RIDA M YOUNUS MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 1001 SAM PERRY BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4453
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Country | US
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Telephone | 540-741-4350
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Fax |
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Provider Business Mailing Address
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Address Line | 1230 BAXTER ST
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City | ATHENS
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State | GA
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Zip | 30606-3712
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Country | US
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Telephone | 706-389-3410
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Fax | 706-389-3410
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 83479
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 83479
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101274708
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License Number State | VA
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