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General NPI Number Information
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NPI Number | 1922657337
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Entity Type | Individual
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Provider Name | YOUSEF ISMAEL MD
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Gender | Male
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Dates
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Enumeration Date | 09/09/2019
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Last Update Date | 11/01/2019
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Provider Practice Location Address
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Address Line | 1001 PENNSYLVANIA AVE
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City | OTTUMWA
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State | IA
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Zip | 52501-6427
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Country | US
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Telephone | 641-684-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 7496 WYNDHURST PL APT 103
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City | GERMANTOWN
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State | TN
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Zip | 38138-2062
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Country | US
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Telephone |
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | SP-0237
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License Number State | IA
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