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General NPI Number Information
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NPI Number | 1659856292
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Entity Type | Individual
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Provider Name | LAURA A COLES
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Gender | Female
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Dates
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Enumeration Date | 09/29/2018
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 651 HIGH ST
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City | BURLINGTON
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State | NJ
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Zip | 08016-2737
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Country | US
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Telephone | 609-386-0775
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Fax | 609-386-4372
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Provider Business Mailing Address
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Address Line | PO BOX 1309
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City | MARLTON
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State | NJ
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Zip | 08053-6309
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Country | US
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Telephone | 609-567-0434
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Fax | 609-704-5615
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 26NR19236200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ01021600
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License Number State | NJ
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