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General NPI Number Information
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NPI Number | 1558682195
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Entity Type | Individual
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Provider Name | METASEBIA BEKELE PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 2540 SISTER MARY COLUMBA DR
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City | RED BLUFF
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State | CA
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Zip | 96080-4327
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Country | US
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Telephone | 530-690-2827
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Fax |
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Provider Business Mailing Address
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Address Line | 530 HOWARD CT UNIT B
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City | SUSANVILLE
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State | CA
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Zip | 96130-3190
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Country | US
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Telephone | 407-267-4344
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9105475
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 52895
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License Number State | CA
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