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General NPI Number Information
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NPI Number | 1518497270
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Entity Type | Individual
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Provider Name | LAURA BETH JAMROG DPM
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Gender | Female
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 1303 S LINDEN RD
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City | FLINT
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State | MI
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Zip | 48532-3442
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Country | US
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Telephone | 810-230-0177
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Fax | 810-230-8090
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Provider Business Mailing Address
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Address Line | 1303 S LINDEN RD STE D
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City | FLINT
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State | MI
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Zip | 48532-3442
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Country | US
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Telephone | 810-230-0177
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Fax | 810-230-8090
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901002675
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License Number State | MI
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