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General NPI Number Information
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NPI Number | 1982912382
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Entity Type | Organization
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Legal Business Name | DR SAMI A. YOUSUF, DDS, INC
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 117 LAFAYETTE ST
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City | NORWICH
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State | CT
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Zip | 06360-2708
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Country | US
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Telephone | 860-887-2231
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Fax | 860-892-1953
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Provider Business Mailing Address
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Address Line | 117 LAFAYETTE ST
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City | NORWICH
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State | CT
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Zip | 06360-2708
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Country | US
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Telephone | 860-887-2231
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Fax | 860-892-1953
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | SAMI A YOUSUF
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Credential | DDS
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Telephone | 860-887-2231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8452
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License Number State | CT
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