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General NPI Number Information
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NPI Number | 1275548695
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Entity Type | Individual
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Provider Name | LAMBROS KONSTANTINOS VIENNAS MD
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 301 RIVERVIEW AVE STE 400
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City | NORFOLK
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State | VA
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Zip | 23510-1065
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Country | US
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Telephone | 757-252-1700
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Fax | 757-431-7775
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-293-8566
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Fax | 614-293-3381
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | D47480
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 0101245217
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 35144123
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License Number State | OH
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