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1154950061
MIRA TESS TANENBAUM
WASHINGTON, DC
NPI
1154950061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-02
Last Update Date
2020-04-02
Business Address
Dr. MIRA TESS TANENBAUM MD
900 23RD ST NW
WASHINGTON, DC 20037-2342
Phone number: 202-715-4000
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Mailing Address
Dr. MIRA TESS TANENBAUM MD
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037-3201
Phone number: 202-741-3000
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