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General NPI Number Information
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NPI Number | 1720115983
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Entity Type | Organization
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Legal Business Name | AMERIHEALTH, INC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5934 WOODFIELD ESTATES DR
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City | ALEXANDRIA
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State | VA
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Zip | 22310-1872
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Country | US
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Telephone | 703-835-0827
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Fax |
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Provider Business Mailing Address
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Address Line | 5934 WOODFIELD ESTATES DR
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City | ALEXANDRIA
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State | VA
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Zip | 22310-1872
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Country | US
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Telephone | 703-835-0827
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THEODROS DAGNEW
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Credential |
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Telephone | 703-835-0827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NAT1000250
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License Number State | DC
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