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General NPI Number Information
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NPI Number | 1265838346
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Entity Type | Individual
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Provider Name | LAURA MARIE MCDERMOTT CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 680 BLAIR MILL RD 2ND FLOOR
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City | HORSHAM
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State | PA
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Zip | 19044-2223
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Country | US
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Telephone | 215-902-9014
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Fax |
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Provider Business Mailing Address
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Address Line | 680 BLAIR MILL RD 2ND FLOOR
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City | HORSHAM
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State | PA
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Zip | 19044-2223
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Country | US
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Telephone | 215-902-9014
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024177532
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11023427
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R238205
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP014446
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN1052642
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License Number State | DC
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Taxonomy #6
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP014446
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LP-0000314
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License Number State | DE
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