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General NPI Number Information
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NPI Number | 1295825842
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Entity Type | Organization
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Legal Business Name | LARMOYEUX CLINIC PA
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 10/27/2008
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Provider Practice Location Address
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Address Line | 124 E ASHLEY ST
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City | JACKSONVILLE
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State | FL
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Zip | 32202-3118
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Country | US
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Telephone | 904-353-5696
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Fax | 904-353-2844
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Provider Business Mailing Address
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Address Line | 124 E ASHLEY ST
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City | JACKSONVILLE
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State | FL
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Zip | 32202-3118
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Country | US
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Telephone | 904-353-5696
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Fax | 904-353-2844
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. JOHN E TRAINER III
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Credential | MD
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Telephone | 904-353-5696
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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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