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General NPI Number Information
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NPI Number | 1235028689
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Entity Type | Individual
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Provider Name | MELAT BELAYNEH HAILEMARIAM
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Gender | Female
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 15600 OLD COLUMBIA PIKE
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City | BURTONSVILLE
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State | MD
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Zip | 20866-1630
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Country | US
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Telephone | 301-421-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 15 VALLEYFIELD CT
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City | SILVER SPRING
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State | MD
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Zip | 20906-5723
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Country | US
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Telephone | 240-413-1710
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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 | 0330135690
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 30413
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License Number State | MD
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