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General NPI Number Information
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NPI Number | 1225593817
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Entity Type | Individual
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Provider Name | GETAHUN GAREDE
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Gender | Male
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Dates
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Enumeration Date | 02/07/2019
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Last Update Date | 02/15/2025
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Provider Practice Location Address
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Address Line | 6105 PIKE CT
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City | ALEXANDRIA
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State | VA
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Zip | 22310-2101
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Country | US
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Telephone | 301-758-4182
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Fax |
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Provider Business Mailing Address
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Address Line | 6600 LUZON AVE NW APT 508
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City | WASHINGTON
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State | DC
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Zip | 20012-3019
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Country | US
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Telephone | 301-758-4182
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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