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General NPI Number Information
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NPI Number | 1164773909
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Entity Type | Individual
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Provider Name | BEATRIZ LARRU M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 3701 WILSHIRE BOULEVARD SUITE #600
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City | LOS ANGELES
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State | CA
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Zip | 90010-2814
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Country | US
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Telephone | 323-361-3550
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Fax | 323-361-8052
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Provider Business Mailing Address
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Address Line | 3701 WILSHIRE BLVD SUITE #600
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City | LOS ANGELES
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State | CA
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Zip | 90010-2804
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Country | US
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Telephone | 323-361-3550
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Fax | 323-361-8052
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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 | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | MT199050
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | A143858
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License Number State | CA
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