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General NPI Number Information
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NPI Number | 1942259460
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Entity Type | Individual
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Provider Name | MARY DEBORAH COLONY M.D.,ABEM,RDMS
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1073 FATHER JUDGE RD
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City | MONROE
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State | VA
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Zip | 24574-2771
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Country | US
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Telephone | 434-929-8507
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Fax | 434-929-8490
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Provider Business Mailing Address
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Address Line | 1100 MILL POND RD
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City | FABER
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State | VA
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Zip | 22938-2776
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Country | US
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Telephone | 917-841-1355
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101269680
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License Number State | VA
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