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General NPI Number Information
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NPI Number | 1639397185
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Entity Type | Organization
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Legal Business Name | WOMENS TOTAL HEALTH CARE
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Dates
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Enumeration Date | 04/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7703 BARLOWE RD
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City | LANDOVER
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State | MD
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Zip | 20785-4124
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Country | US
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Telephone | 301-322-5440
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Fax | 301-772-7863
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Provider Business Mailing Address
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Address Line | 7703 BARLOWE RD
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City | LANDOVER
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State | MD
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Zip | 20785-4124
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Country | US
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Telephone | 301-322-5440
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Fax | 301-772-7863
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | DR. WILLIE LEE MCCLOUD SR.
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Credential | M.D.
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Telephone | 301-322-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0021440
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License Number State | MD
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