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General NPI Number Information
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NPI Number | 1982399358
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Entity Type | Individual
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Provider Name | ABRHA KAHSAAY HAREGOT
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Gender | Male
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 2301 PERFORMANCE DR APT 455
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City | RICHARDSON
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State | TX
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Zip | 75082-4541
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Country | US
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Telephone | 512-566-9881
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Fax | 512-358-4017
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Provider Business Mailing Address
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Address Line | 2301 PERFORMANCE DR APT 455
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City | RICHARDSON
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State | TX
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Zip | 75082-4541
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Country | US
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Telephone | 512-566-9881
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Fax | 512-358-4017
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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 | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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