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General NPI Number Information
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NPI Number | 1235063579
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Entity Type | Organization
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Legal Business Name | SPARKS MEDICAL LLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 602 S ATWOOD RD STE 207A
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City | BEL AIR
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State | MD
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Zip | 21014-4172
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Country | US
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Telephone | 410-223-2616
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Fax | 800-574-5154
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Provider Business Mailing Address
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Address Line | 602 S ATWOOD RD STE 207A
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City | BEL AIR
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State | MD
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Zip | 21014-4172
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Country | US
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Telephone | 410-223-2616
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Fax | 800-574-5154
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Authorized Official
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Title or Position | PRESIDENT
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Name | MELANIE ROWE SPARKS
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Credential | FNP
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Telephone | 410-223-2616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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