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General NPI Number Information
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NPI Number | 1326847872
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Entity Type | Organization
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Legal Business Name | BERICARE MEDICAL SERVICES
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 4320 SEMINARY RD
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City | ALEXANDRIA
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State | VA
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Zip | 22304-1535
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Country | US
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Telephone | 703-504-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 8401 MAYLAND DR # 5503
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HOSPITALIST
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Name | BEREKET ASGEDOM
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Credential | MD
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Telephone | 703-477-2277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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