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General NPI Number Information
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NPI Number | 1255966966
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Entity Type | Organization
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Legal Business Name | LARKIN OD LLC
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 04/12/2020
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Provider Practice Location Address
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Address Line | 323 SW 145TH TER STE 3050
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1444
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Country | US
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Telephone | 954-392-4111
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Fax | 954-392-4113
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Provider Business Mailing Address
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Address Line | 323 SW 145TH TER STE 3050
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1444
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Country | US
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Telephone | 954-392-4111
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Fax | 954-392-4113
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. KATHRYN ANNE LARKIN
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Credential | OD
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Telephone | 954-392-4111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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