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General NPI Number Information
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NPI Number | 1205346780
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Entity Type | Organization
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Legal Business Name | HMW SERVICES, LLC
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 09/07/2022
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Provider Practice Location Address
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Address Line | 5820 YORK RD STE 102
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City | BALTIMORE
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State | MD
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Zip | 21212-3619
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Country | US
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Telephone | 301-266-0493
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Fax | 844-587-1405
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Provider Business Mailing Address
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Address Line | 3022 CHARLETON CT
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City | WALDORF
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State | MD
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Zip | 20602-2527
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Country | US
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Telephone | 717-891-1173
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Fax | 844-587-1405
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Authorized Official
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Title or Position | CRNP
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Name | HEATHER M WALLICK
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Credential | ANP-C
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Telephone | 301-226-0493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | MD
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