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General NPI Number Information
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NPI Number | 1255442174
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Entity Type | Individual
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Provider Name | LAWRENCE B COLEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6261 E VIRGINIA BEACH BLVD SUITE 100
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City | NORFOLK
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State | VA
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Zip | 23502-2964
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Country | US
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Telephone | 757-466-1000
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Fax | 757-466-7788
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Provider Business Mailing Address
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Address Line | 6261 E VIRGINIA BEACH BLVD SUITE 100
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City | NORFOLK
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State | VA
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Zip | 23502-2964
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Country | US
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Telephone | 757-466-1000
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Fax | 757-466-7788
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 0101044977
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License Number State | VA
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