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General NPI Number Information
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NPI Number | 1861689168
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Entity Type | Organization
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Legal Business Name | YOUSEF F. KHOURI, MD, PC
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 1304 13TH AVE SE SUITE P
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City | DECATUR
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State | AL
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Zip | 35601
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Country | US
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Telephone | 256-355-1843
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Fax | 256-340-2553
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Provider Business Mailing Address
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Address Line | 1304 13TH AVE SE SUITE P
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City | DECATUR
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State | AL
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Zip | 35601
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Country | US
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Telephone | 256-355-1843
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Fax | 256-340-2553
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Authorized Official
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Title or Position | OWNER
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Name | DR. YOUSEF F KHOURI
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Credential | MD
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Telephone | 256-355-1843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 17772
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License Number State | AL
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