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General NPI Number Information
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NPI Number | 1790443695
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Entity Type | Individual
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Provider Name | BETEL ALEMU ALI PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 12/08/2021
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 7448 BALTIMORE ANNAPOLIS BLVD STE A
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City | GLEN BURNIE
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State | MD
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Zip | 21061-3468
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Country | US
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Telephone | 410-533-4137
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Fax |
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Provider Business Mailing Address
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Address Line | 323 LYRIC LN
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City | SILVER SPRING
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State | MD
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Zip | 20901-5012
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Country | US
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Telephone | 240-543-2477
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26052
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License Number State | MD
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