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NPI 1700595436

NPI 1700595436 : TWO WAYS MEDICAL CARE, LLC : PARKVILLE, MD

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General NPI Number Information
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    NPI Number           |    1700595436
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    Entity Type          |    Organization 
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    Legal Business Name  |    TWO WAYS MEDICAL CARE, LLC 
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Dates
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    Enumeration Date     |    11/21/2022
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    Last Update Date     |    05/19/2023
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Provider Practice Location Address
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    Address Line         |    8831 SATYR HILL RD STE 100 
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    City                 |    PARKVILLE
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    State                |    MD
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    Zip                  |    21234-2355
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    Country              |    US
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    Telephone            |    443-272-1189
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    Fax                  |    443-495-2902
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Provider Business Mailing Address
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    Address Line         |    8831 SATYR HILL RD STE 100 
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    City                 |    PARKVILLE
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    State                |    MD
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    Zip                  |    21234-2355
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    Country              |    US
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    Telephone            |    443-946-1896
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    Fax                  |    443-495-2902
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LAWANDA  ROLLINS 
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    Credential           |    DNP
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    Telephone            |    410-917-9578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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