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General NPI Number Information
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NPI Number | 1619988847
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Entity Type | Individual
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Provider Name | MEKASHA MIKAEL GETACHEW MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1429 SPRUCE DR
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City | KALAMAZOO
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State | MI
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Zip | 49008-2258
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Country | US
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Telephone | 436-175-4288
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Fax |
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Provider Business Mailing Address
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Address Line | CLEVELAND CLINIC 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone |
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 35.084975
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036162696
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License Number State | IL
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