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NPI 1578462644

NPI 1578462644 : ROLANDA CARTER LPMT, MT-BC, NMT : ELLICOTT CITY, MD

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General NPI Number Information
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    NPI Number           |    1578462644
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    Entity Type          |    Individual 
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    Provider Name        |    ROLANDA CARTER LPMT, MT-BC, NMT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/04/2026
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    Last Update Date     |    11/04/2026
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Provider Practice Location Address
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    Address Line         |    3421 MARTHA BUSH DR 
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    City                 |    ELLICOTT CITY
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    State                |    MD
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    Zip                  |    21043-4426
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    Country              |    US
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    Telephone            |    216-577-8390
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9635 52ND AVE 
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    City                 |    COLLEGE PARK
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    State                |    MD
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    Zip                  |    20740-4518
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    Country              |    US
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    Telephone            |    216-577-8390
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225A00000X
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    Taxonomy Name        |    Music Therapist
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    License Number       |    00167
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    License Number State |    MD
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