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General NPI Number Information
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NPI Number | 1548159452
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Entity Type | Individual
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Provider Name | LAUREN SPALT DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 12 MEDSTAR BLVD
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City | BEL AIR
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State | MD
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Zip | 21015-1798
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Country | US
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Telephone | 855-910-3278
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Fax |
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Provider Business Mailing Address
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Address Line | 711 WINEBERRY WAY
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City | ABERDEEN
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State | MD
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Zip | 21001-2660
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R228121
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License Number State | MD
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