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General NPI Number Information
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NPI Number | 1871565440
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Entity Type | Individual
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Provider Name | KAREN LAUREL - FORBES BLEIER CSA
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Gender | Female
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1060 FIRST COLONIAL RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3002
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Country | US
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Telephone | 757-395-8191
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 MONET DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-5510
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Country | US
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Telephone | 757-478-4944
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 2371
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License Number State | VA
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