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General NPI Number Information
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NPI Number | 1871472381
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Entity Type | Individual
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Provider Name | GIRMACHEW TEFERA MEKONNNEN RRT
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Gender | Male
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 14126 SE 167TH ST
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City | RENTON
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State | WA
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Zip | 98058-8507
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Country | US
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Telephone | 206-841-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 N 115TH ST
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City | SEATTLE
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State | WA
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Zip | 98133-8401
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Country | US
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Telephone | 206-668-4805
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | LR60097141
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License Number State | WA
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