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General NPI Number Information
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NPI Number | 1275718991
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Entity Type | Organization
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Legal Business Name | BARRY J LA CLAIR MD PA
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 121 AVENIDA MESSINA
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City | SARASOTA
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State | FL
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Zip | 34242
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Country | US
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Telephone | 941-349-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 121 AVENIDA MESSINA
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City | SARASOTA
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State | FL
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Zip | 34242
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Country | US
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Telephone | 941-349-6161
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Fax | 941-349-5111
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Authorized Official
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Title or Position | OWNER
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Name | BARRY J LACLAIR
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Credential | M.D.
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Telephone | 941-349-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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