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General NPI Number Information
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NPI Number | 1467765099
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Entity Type | Individual
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Provider Name | SEBHAT ASNAKE ERQOU MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2010
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Last Update Date | 07/07/2024
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Provider Practice Location Address
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Address Line | 1201 SAM PERRY BLVD STE 280
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-8400
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Country | US
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Telephone | 540-741-5516
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Fax | 540-741-9756
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Provider Business Mailing Address
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Address Line | 2300 FALL HILL AVE STE 317
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3343
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Country | US
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Telephone | 540-741-5516
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Fax | 540-741-9756
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD16235
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 270808
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101282295
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License Number State | VA
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