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NPI Code Detail

MEDICARE: GENET NEGASH

MEDICARE:   GENET  NEGASH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1295411122
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENET NEGASH
Provider Business Mailing Address
First Line : 2811 PENNSYLVANIA AVE LOWER LEVEL
Second Line :
City : LOWER LEVEL
State : DC
Zip : 20020
Country : US
Telephone Number : 202-894-6811
Fax Number : 202-894-6811
Provider Business Practice Location Address
First Line : 2811 PENNSYLVANIA AVE LOWER LEVEL
Second Line :
City : SOUTH EAST
State : DC
Zip : 20020
Country : US
Telephone Number : 202-894-6811
Fax Number : 202-894-6811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2023
Last Update Date : 06/26/2023

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Directions to “ GENET NEGASH ” Practice Location

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