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General NPI Number Information
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NPI Number | 1235576828
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Entity Type | Individual
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Provider Name | GELANE GEMECHISA, MD MD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2013
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 8000 TOWERS CRESCENT DR STE 1376
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City | TYSONS CORNER
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State | VA
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Zip | 22182-6207
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Country | US
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Telephone | 202-240-8504
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Fax | 202-998-9396
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Provider Business Mailing Address
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Address Line | 8000 TOWERS CRESCENT DR STE 1376
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City | VIENNA
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State | VA
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Zip | 22182-6207
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Country | US
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Telephone | 202-240-8504
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Fax | 202-998-9396
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MT204528
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number | MD044596
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License Number State | DC
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