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General NPI Number Information
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NPI Number | 1962370130
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Entity Type | Individual
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Provider Name | LAURIE JAMESON
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Gender | Female
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 13525 SWINDLER RD
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City | NEWBURG
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State | MD
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Zip | 20664-3322
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Country | US
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Telephone | 240-530-0527
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Fax |
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Provider Business Mailing Address
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Address Line | 13525 SWINDLER RD
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City | NEWBURG
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State | MD
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Zip | 20664-3322
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Country | US
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Telephone | 240-530-0527
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | W25041328
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License Number State | MD
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