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General NPI Number Information
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NPI Number | 1578873469
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Entity Type | Organization
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Legal Business Name | METRO BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 85 S. BRAGG ST. SUITE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22312-2793
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Country | US
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Telephone | 703-845-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 85 S. BRAGG ST. SUITE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22312-2793
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Country | US
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Telephone | 703-845-0700
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | GEBREHANA W. ZEBRO
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Credential | M.D.
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Telephone | 703-845-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101239027
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License Number State | VA
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