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General NPI Number Information
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NPI Number | 1467767830
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Entity Type | Individual
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Provider Name | AMANUEL TEKLE ROSARIO M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 1900 MASSACHUSETTS AVE SE BLDG 15
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City | WASHINGTON
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State | DC
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Zip | 20003-2542
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Country | US
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Telephone | 202-698-4020
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Fax | 202-724-2363
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Provider Business Mailing Address
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Address Line | 16810 HARBOUR TOWN DR
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City | SILVER SPRING
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State | MD
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Zip | 20905-4100
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Country | US
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Telephone | 240-481-6767
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Fax | 301-421-4008
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | D0043026
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD19847
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License Number State | DC
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