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General NPI Number Information
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NPI Number | 1225918832
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Entity Type | Individual
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Provider Name | MERON HAILEMARIAM
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Gender | Female
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 4555 WISCONSIN AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20016-4619
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 4648 RIPLEY MANOR TER
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City | OLNEY
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State | MD
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Zip | 20832-1865
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Country | US
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Telephone | 323-377-4971
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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 | NP1057771
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R230156
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License Number State | MD
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