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General NPI Number Information
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NPI Number | 1336016294
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Entity Type | Individual
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Provider Name | DEJENE ALEMAYEHU SATECHA
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Gender | Male
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 9710 STATE AVE
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City | MARYSVILLE
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State | WA
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Zip | 98270-2232
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Country | US
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Telephone | 425-616-4100
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Fax | 425-616-4115
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Provider Business Mailing Address
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Address Line | 3262 LANDINGVIEW CT
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City | LILBURN
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State | GA
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Zip | 30047-1404
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Country | US
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Telephone | 678-207-8852
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Fax | 678-207-8852
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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