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General NPI Number Information
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NPI Number | 1982552345
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Entity Type | Individual
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Provider Name | LAKEYSHA CHEVONNE SUBER
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Gender | Female
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 201 58TH ST NE # T06
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City | WASHINGTON
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State | DC
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Zip | 20019-6800
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Country | US
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Telephone | 202-422-6548
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Fax |
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Provider Business Mailing Address
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Address Line | 14440 W SIDE BLVD APT 200
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City | LAUREL
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State | MD
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Zip | 20707-6273
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number | S-160-488-115-062
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License Number State | MD
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