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General NPI Number Information
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NPI Number | 1053806257
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Entity Type | Individual
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Provider Name | LARRY LANTIER RPH
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Gender | Male
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Dates
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Enumeration Date | 06/29/2018
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Last Update Date | 06/29/2018
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Provider Practice Location Address
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Address Line | 5900 CAMERON STREET SUITE 100
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City | SCOTT
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State | LA
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Zip | 70583
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Country | US
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Telephone | 337-233-3382
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Fax | 337-233-3385
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Provider Business Mailing Address
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Address Line | 221 SUNNY LN
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City | LAFAYETTE
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State | LA
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Zip | 70506-6340
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Country | US
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Telephone | 337-322-7383
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Fax | 337-233-3385
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15155
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License Number State | LA
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