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General NPI Number Information
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NPI Number | 1629114657
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Entity Type | Organization
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Legal Business Name | LAURIE J. POSS, M.D. P.A.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 133 DEFENSE HIGHWAY SUITE 211
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7378
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Country | US
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Telephone | 410-571-0904
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Fax | 410-571-0905
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Provider Business Mailing Address
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Address Line | 133 DEFENSE HIGHWAY SUITE 211
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7378
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Country | US
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Telephone | 410-571-0904
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Fax | 410-571-0905
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Authorized Official
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Title or Position | OWNER
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Name | LAURIE JANE POSS
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Credential | M.D.
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Telephone | 410-571-0904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | D00032567
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | D0032567
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0032567
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License Number State | MD
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