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General NPI Number Information
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NPI Number | 1003345893
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Entity Type | Organization
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Legal Business Name | MOLLY CARR NP & HERBALIST LLC
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 5415 W CEDAR LN STE 106B
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City | BETHESDA
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State | MD
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Zip | 20814-1515
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Country | US
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Telephone | 240-389-2144
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Fax | 866-264-7030
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Provider Business Mailing Address
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Address Line | 6106 HARVARD AVE UNIT 345
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City | GLEN ECHO
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State | MD
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Zip | 20812-7507
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Country | US
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Telephone | 301-284-0599
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Fax | 866-264-7030
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Authorized Official
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Title or Position | SOLE PROPRIETER
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Name | MS. MOLLY FOOTE CARR
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Credential | NURSE PRACTITIONER
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Telephone | 301-284-0599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R112938
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | R112938
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License Number State | MD
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