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General NPI Number Information
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NPI Number | 1346375227
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Entity Type | Organization
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Legal Business Name | ADRIENNE E. LARA, M.D. INC.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 1801 SOLAR DR SUITE 150
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City | OXNARD
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State | CA
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Zip | 93030-8234
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Country | US
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Telephone | 805-988-7577
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Fax | 805-485-0464
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Provider Business Mailing Address
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Address Line | 1801 SOLAR DR SUITE 150
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City | OXNARD
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State | CA
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Zip | 93030-8234
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Country | US
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Telephone | 805-988-7577
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Fax | 805-485-0464
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADRIENNE ELIZABETH LARA
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Credential | M.D.
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Telephone | 805-988-7577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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