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General NPI Number Information
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NPI Number | 1639024227
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Entity Type | Individual
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Provider Name | MARIAMAWIT KEBEDE TILAHUN
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Gender | Female
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 3610 KING ST STE D
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City | ALEXANDRIA
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State | VA
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Zip | 22302-1908
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Country | US
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Telephone | 855-910-3278
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Fax |
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Provider Business Mailing Address
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Address Line | 10980 GRANTCHESTER WAY
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City | COLUMBIA
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State | MD
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Zip | 21044-6097
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Country | US
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Telephone | 410-772-6500
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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 |
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License Number State |
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