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General NPI Number Information
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NPI Number | 1780906370
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Entity Type | Individual
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Provider Name | DAWIT TSEGAYE PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 821 WAYNE AVE
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City | SILVER SPRING
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State | MD
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Zip | 20910-4427
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Country | US
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Telephone | 301-585-8005
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Fax | 301-585-9005
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Provider Business Mailing Address
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Address Line | 821 WAYNE AVE
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City | SILVER SPRING
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State | MD
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Zip | 20910-4427
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Country | US
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Telephone | 301-585-8005
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Fax | 301-585-9005
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16151
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH100000717
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202012728
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License Number State | VA
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