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NPI 1669431045

NPI 1669431045 : DARYL G. COLDEN M.D. : LAWRENCE, MA

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General NPI Number Information
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    NPI Number           |    1669431045
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    Entity Type          |    Organization 
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    Legal Business Name  |    DARYL G. COLDEN M.D. 
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Dates
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    Enumeration Date     |    03/22/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    50 PROSPECT ST SUITE 401
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    City                 |    LAWRENCE
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    State                |    MA
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    Zip                  |    01841-2841
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    Country              |    US
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    Telephone            |    978-685-2900
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    Fax                  |    978-688-8292
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2200 
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    City                 |    AMHERST
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    State                |    NH
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    Zip                  |    03031-4200
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    Country              |    US
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    Telephone            |    603-673-9411
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    Fax                  |    603-673-9899
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Authorized Official
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    Title or Position    |    SOLE PROPRIETOR
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    Name                 |     DARYL G. COLDEN 
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    Credential           |    M.D.
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    Telephone            |    978-685-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Y00000X
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    Taxonomy Name        |    Otolaryngology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207YS0123X
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    Taxonomy Name        |    Facial Plastic Surgery Physician
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    License Number       |    
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    License Number State |    
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