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General NPI Number Information
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NPI Number | 1093706871
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Entity Type | Individual
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Provider Name | MAHETEME BAYEH MD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 9801 GREENBELT RD SUITE 101
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City | LANHAM
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State | MD
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Zip | 20706-2273
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Country | US
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Telephone | 301-552-6666
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Fax | 301-552-6216
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Provider Business Mailing Address
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Address Line | PO BOX 10823
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City | SILVER SPRING
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State | MD
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Zip | 20914-0823
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Country | US
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Telephone | 301-552-6666
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Fax | 301-552-6216
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | D0054579
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License Number State | MD
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