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General NPI Number Information
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NPI Number | 1457811036
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Entity Type | Individual
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Provider Name | LAURA HENRY MD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 3030 N CIRCLE DR STE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1180
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Country | US
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Telephone | 719-867-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 3030 N CIRCLE DR STE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1180
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Country | US
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Telephone | 719-867-7800
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Fax | 719-867-7899
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | DR.0072304
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | DR.0072304
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License Number State | CO
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