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General NPI Number Information
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NPI Number | 1467507285
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Entity Type | Individual
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Provider Name | GIRMACHEW TRUNEH D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 1611 N.W. 12TH AVENUE. JACKSON MEMORIAL HOSPITAL
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City | MIAMI
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State | FL
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Zip | 33136-1096
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Country | US
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Telephone | 305-585-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 NE 169TH ST # 301
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3059
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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 |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS 8097
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | OS8097
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License Number State | FL
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