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General NPI Number Information
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NPI Number | 1932631652
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Entity Type | Individual
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Provider Name | YOUSEF MONZER MAITA DO
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Gender | Male
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 3502 W CACTUS RD
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City | PHOENIX
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State | AZ
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Zip | 85029-3127
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Country | US
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Telephone | 602-938-1590
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Fax |
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Provider Business Mailing Address
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Address Line | 3502 W CACTUS RD
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City | PHOENIX
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State | AZ
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Zip | 85029-3127
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 036.174866
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 75099
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | V5914
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 81365-25
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 8127
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 20475
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License Number State | FL
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