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General NPI Number Information
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NPI Number | 1407282726
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Entity Type | Organization
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Legal Business Name | RICHARD M. LARREY, M.D., P.A.
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Dates
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Enumeration Date | 09/18/2013
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 11734 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-3514
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Country | US
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Telephone | 713-795-4963
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Fax | 281-807-4964
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Provider Business Mailing Address
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Address Line | 11734 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-3514
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ORTHOPEDIC SURGEON
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Name | DR. RICHARD M. LARREY
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Credential | M.D.
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Telephone | 713-795-4963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | F4918
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License Number State | TX
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