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General NPI Number Information
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NPI Number | 1023799756
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Entity Type | Individual
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Provider Name | FURTUNA AMEDE ABEBE
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Gender | Female
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 4200 FORBES BLVD STE 103
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City | LANHAM
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State | MD
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Zip | 20706-4390
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Country | US
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Telephone | 240-301-9523
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Fax |
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Provider Business Mailing Address
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Address Line | 718 RITTENHOUSE ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1256
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Country | US
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Telephone | 202-468-6757
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGP15812
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License Number State | MD
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