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General NPI Number Information
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NPI Number | 1457094617
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Entity Type | Individual
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Provider Name | LAUREN NICOLE MAZIN DO
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Gender | Female
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 1000 E BROAD ST
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City | RICHMOND
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State | VA
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Zip | 23219-1930
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Country | US
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Telephone | 804-828-2467
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 980257
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City | RICHMOND
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State | VA
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Zip | 23298-0257
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Country | US
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Telephone | 804-828-9783
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 0116036418
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License Number State | VA
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