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General NPI Number Information
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NPI Number | 1043252653
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Entity Type | Individual
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Provider Name | ROLAND LARRABEE MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 317 S CHESTNUT ST
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City | QUARRYVILLE
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State | PA
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Zip | 17566-1344
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Country | US
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Telephone | 717-786-7383
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Fax |
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Provider Business Mailing Address
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Address Line | 555 N DUKE ST
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City | LANCASTER
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State | PA
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Zip | 17602-2250
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Country | US
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Telephone | 717-544-5511
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD025172E
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License Number State | PA
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