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General NPI Number Information
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NPI Number | 1073118204
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Entity Type | Individual
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Provider Name | RIBKA GEZMU
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Gender | Female
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 3031 14TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20009-6820
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Country | US
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Telephone | 202-332-4865
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Fax | 202-332-6408
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Provider Business Mailing Address
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Address Line | 1201 S SCOTT ST APT 435
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City | ARLINGTON
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State | VA
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Zip | 22204-4690
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Country | US
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Telephone | 571-551-8992
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH100002621
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License Number State | DC
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