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General NPI Number Information
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NPI Number | 1093855983
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Entity Type | Individual
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Provider Name | MARY L COLFER MD
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 7611 FOREST AVE STE 410
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City | RICHMOND
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State | VA
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Zip | 23229-4946
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Country | US
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Telephone | 804-773-7611
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Fax | 804-324-3434
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Provider Business Mailing Address
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Address Line | 7611 FOREST AVE STE 410
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City | RICHMOND
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State | VA
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Zip | 23229-4946
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Country | US
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Telephone | 47-737-6118
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Fax | 804-324-3434
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 223345-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101056632
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101056632
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License Number State | VA
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