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General NPI Number Information
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NPI Number | 1508846726
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Entity Type | Individual
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Provider Name | ZEWGE SHIFERAW-DERIBE M.D
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1545 ATLANTIC AVE STE 108
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City | BROOKLYN
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State | NY
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Zip | 11213-1122
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Country | US
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Telephone | 718-467-1545
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Fax | 718-467-1560
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Provider Business Mailing Address
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Address Line | 1710 ROCKAWAY PKWY
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City | BROOKLYN
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State | NY
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Zip | 11236-4824
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Country | US
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Telephone | 718-531-2702
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Fax | 718-531-2602
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 231792
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License Number State | NY
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