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General NPI Number Information
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NPI Number | 1083410161
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Entity Type | Individual
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Provider Name | CLAUDIA LARA
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Gender | Female
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 1297 US HIGHWAY 27 N
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City | LAKE PLACID
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State | FL
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Zip | 33852-7907
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Country | US
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Telephone | 863-465-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 NW 120TH TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-1963
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Country | US
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Telephone | 305-801-4437
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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