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General NPI Number Information
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NPI Number | 1346436276
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Entity Type | Individual
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Provider Name | ERMIAS AYTENFISU MEKONNEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 8600 OLD GEORGETOWN RD
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City | BETHESDA
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State | MD
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Zip | 20814-1497
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Country | US
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Telephone | 301-896-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 2041 GEORGIA AVE NW STE 6101
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City | WASHINGTON
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State | DC
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Zip | 20060-0001
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Country | US
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Telephone | 202-865-6679
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 9374505-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0101256170
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | D0086800
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2025013771
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 104198
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 1471653
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License Number State | ID
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Taxonomy #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | T2216
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD040014
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License Number State | DC
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