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General NPI Number Information
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NPI Number | 1912126350
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Entity Type | Individual
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Provider Name | SHUKRI YOUSEF ADAM-FARAH RN, PHN, MHCA
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 3896 50TH ST
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City | SAN DIEGO
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State | CA
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Zip | 92105
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Country | US
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Telephone | 619-757-0441
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Fax | 619-640-6833
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Provider Business Mailing Address
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Address Line | 3851 ROSECRANS ST MS P511F
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City | SAN DIEGO
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State | CA
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Zip | 92110-3115
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Country | US
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Telephone | 619-692-8453
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 584384
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 584384
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 584384
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WC2100X
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Taxonomy Name | Continence Care Registered Nurse
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License Number | 584384
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 584384
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 584384
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 584384
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 584384
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License Number State | CA
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