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General NPI Number Information
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NPI Number | 1710068549
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Entity Type | Organization
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Legal Business Name | GREENBELT MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9801 GREENBELT RD SUITE 101
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City | LANHAM
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State | MD
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Zip | 20706-2273
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Country | US
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Telephone | 301-552-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 203 LINTON KNOLL CT
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City | SILVER SPRING
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State | MD
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Zip | 20904-1270
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Country | US
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Telephone | 301-552-6666
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MESFIN GEBREMICHAEL
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Credential | M.D.
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Telephone | 301-552-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | D0042354
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License Number State | MD
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