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General NPI Number Information
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NPI Number | 1942437892
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Entity Type | Individual
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Provider Name | GIRUM G BEYENE MD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 02/04/2014
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Provider Practice Location Address
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Address Line | 8118 GOOD LUCK RD
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City | LANHAM
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State | MD
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Zip | 20706-3574
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Country | US
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Telephone | 301-552-8130
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Fax | 301-552-8135
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Provider Business Mailing Address
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Address Line | 5309 MANORFIELD RD
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City | ROCKVILLE
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State | MD
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Zip | 20853-2512
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Country | US
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Telephone | 301-768-6850
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0068976
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License Number State | MD
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