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General NPI Number Information
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NPI Number | 1700598539
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Entity Type | Individual
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Provider Name | HAYMANOT NADEW PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 12/26/2022
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Last Update Date | 12/26/2022
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Provider Practice Location Address
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Address Line | 500 12TH ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-2974
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Country | US
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Telephone | 202-543-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 9845 BON HAVEN LN
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City | OWINGS MILLS
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State | MD
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Zip | 21117-7408
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Country | US
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Telephone | 571-276-6912
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PH100000927
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License Number State | DC
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