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General NPI Number Information
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NPI Number | 1952747198
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Entity Type | Individual
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Provider Name | NADIA YOUSUF TAYEB M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 400 E STATE ST STE D
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City | ATHENS
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State | OH
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Zip | 45701-1870
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Country | US
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Telephone | 740-249-4514
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Fax | 800-480-7578
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Provider Business Mailing Address
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Address Line | 925B PEACHTREE ST NE UNIT 2029
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City | ATLANTA
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State | GA
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Zip | 30309-3918
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Country | US
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Telephone | 407-690-4762
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 89665
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | L.4057R
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 35.147694
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License Number State | OH
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