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General NPI Number Information
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NPI Number | 1306286166
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Entity Type | Individual
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Provider Name | CHRISTOPHER LAFARGUE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 500 S HENDERSON ST STE 300
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City | FORT WORTH
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State | TX
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Zip | 76104-2154
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Country | US
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Telephone | 817-413-1500
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Fax | 817-413-1499
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1242
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Country | US
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Telephone | 972-997-8000
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Fax | 972-234-2987
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | S0717
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License Number State | TX
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