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General NPI Number Information
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NPI Number | 1326745274
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Entity Type | Organization
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Legal Business Name | MED-WAY INTEGRATIVE HEALTHCARE, LLC
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 7307 BALTIMORE AVE STE 109
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City | COLLEGE PARK
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State | MD
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Zip | 20740-3231
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Country | US
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Telephone | 240-814-6969
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Fax |
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Provider Business Mailing Address
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Address Line | 12806 GLADYS RETREAT CIR
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City | BOWIE
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State | MD
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Zip | 20720-3349
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Country | US
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Telephone | 810-423-3073
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | ABOLANLE B AHMED-OREPITAN
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Credential | NP
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Telephone | 240-814-6969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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