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NPI Code Detail

MEDICARE: NETSANET BEHABTU BEDASSO

MEDICARE:   NETSANET BEHABTU BEDASSO
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
1104100000XSocial Worker
2183500000XPharmacist20906NV

General Provider Information

NPI Number : 1487313060
Entity Type Code : Individual
Provider Name (Legal Business Name) : NETSANET BEHABTU BEDASSO
Provider Business Mailing Address
First Line : 7405 S DURANGO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3605
Country : US
Telephone Number : 702-407-2524
Fax Number :
Provider Business Practice Location Address
First Line : 7405 S DURANGO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3605
Country : US
Telephone Number : 702-407-2524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2021
Last Update Date : 12/11/2021

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Directions to “ NETSANET BEHABTU BEDASSO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.