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General NPI Number Information
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NPI Number | 1992670731
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Entity Type | Individual
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Provider Name | TIWALOLUWA JAMES PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 8600 OLD GEORGETOWN RD
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City | BETHESDA
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State | MD
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Zip | 20814-1422
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Country | US
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Telephone | 301-896-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 301-893-1000
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Fax | 410-500-4266
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | MD
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