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General NPI Number Information
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NPI Number | 1922525724
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Entity Type | Individual
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Provider Name | DR. MESSAY ADDIS
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Gender | Male
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 3700 NEWARK ST NW
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City | WASHINGTON
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State | DC
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Zip | 20016-3036
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Country | US
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Telephone | 202-966-0320
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 W BRADDOCK RD
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City | ALEXANDRIA
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State | VA
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Zip | 22302-3229
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Country | US
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Telephone | 703-371-8512
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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 | 0202214490
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License Number State | VA
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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 | PH100002343
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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 | 23972
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PTS022000
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License Number State | LA
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