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General NPI Number Information
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NPI Number | 1841681426
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Entity Type | Individual
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Provider Name | TSION S MEKURIA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/18/2015
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Last Update Date | 02/18/2015
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Provider Practice Location Address
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Address Line | 9131 PISCATAWAY RD STE 670
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City | CLINTON
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State | MD
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Zip | 20735-2579
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Country | US
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Telephone | 240-348-7157
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Fax | 240-348-7160
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Provider Business Mailing Address
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Address Line | 3320 S 28TH ST APT 202
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City | ALEXANDRIA
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State | VA
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Zip | 22302-1342
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Country | US
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Telephone | 703-677-0496
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Fax | 240-348-7160
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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 | 22154
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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 | 0202212732
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License Number State | VA
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