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General NPI Number Information
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NPI Number | 1154284651
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Entity Type | Individual
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Provider Name | LAURA FREEMAN RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 820 WOODLAND DR
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City | HAVERTOWN
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State | PA
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Zip | 19083-4512
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Country | US
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Telephone | 610-416-5039
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Fax |
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Provider Business Mailing Address
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Address Line | 820 WOODLAND DR
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City | HAVERTOWN
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State | PA
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Zip | 19083-4512
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Country | US
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Telephone | 610-416-5039
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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 | 133VN1101X
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Taxonomy Name | Gerontological Nutrition Registered Dietitian
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License Number | DN001439
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License Number State | PA
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