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General NPI Number Information
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NPI Number | 1043161433
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Entity Type | Individual
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Provider Name | TEWABECH GEBREKIRSTOS WERETA
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Gender | Female
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 2226 WISCONSIN AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20007-4102
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Country | US
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Telephone | 202-944-8671
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Fax |
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Provider Business Mailing Address
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Address Line | 13146 COUNTRY RIDGE DR
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City | GERMANTOWN
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State | MD
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Zip | 20874-1122
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP500339320
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License Number State | DC
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