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General NPI Number Information
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NPI Number | 1386530863
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Entity Type | Individual
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Provider Name | ANYA MARIE LARAWAY DPM
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Gender | Female
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 501 BATH RD
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City | BRISTOL
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State | PA
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Zip | 19007-3190
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Country | US
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Telephone | 832-764-6591
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 BRISTOL OXFORD VALLEY RD APT E8
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City | LEVITTOWN
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State | PA
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Zip | 19057-3507
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Country | US
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Telephone | 832-764-6591
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Fax |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC007572
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License Number State | PA
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