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General NPI Number Information
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NPI Number | 1144663147
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Entity Type | Individual
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Provider Name | LARA TOUFIC DAKHOUL M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2013
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 15255 MAX LEGGETT PKWY STE 3100
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City | JACKSONVILLE
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State | FL
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Zip | 32218-7275
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Country | US
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Telephone | 904-427-8965
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Fax | 904-633-0028
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Provider Business Mailing Address
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Address Line | PO BOX 44008
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City | JACKSONVILLE
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State | FL
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Zip | 32231-4008
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Country | US
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Telephone | 239-343-6202
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Fax | 239-343-4159
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME149650
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME149650
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License Number State | FL
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