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General NPI Number Information
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NPI Number | 1801382320
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Entity Type | Individual
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Provider Name | LAURA RENEE MAAG CNP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1380 E STROOP RD
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City | KETTERING
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State | OH
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Zip | 45429-4926
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Country | US
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Telephone | 937-293-3486
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Fax | 937-522-8057
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Provider Business Mailing Address
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Address Line | 415 BYERS RD STE 300
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City | MIAMISBURG
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State | OH
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Zip | 45342-3684
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Country | US
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Telephone | 937-866-2494
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Fax | 937-866-8494
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN.380043
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN.CNP.023105
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License Number State | OH
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