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General NPI Number Information
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NPI Number | 1225398449
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Entity Type | Individual
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Provider Name | LORRAINE ODAY SEWELL
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Gender | Female
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Dates
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Enumeration Date | 05/22/2012
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 9504 STONEY RIDGE RD
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City | SPRINGDALE
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State | MD
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Zip | 20774-5442
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Country | US
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Telephone | 240-643-1391
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 NALLEY RD APT 841
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City | LANDOVER
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State | MD
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Zip | 20785-4425
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Country | US
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Telephone | 301-772-4042
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HHA2451
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License Number State | DC
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