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General NPI Number Information
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NPI Number | 1619085214
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Entity Type | Individual
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Provider Name | FRANCIS ANTHONY LAROSA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | 5875 BREMO RD SUITE 606
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City | RICHMOND
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State | VA
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Zip | 23226-1934
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Country | US
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Telephone | 804-484-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 400 WESTHAMPTON STA
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City | RICHMOND
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State | VA
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Zip | 23226-3330
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Country | US
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Telephone | 804-287-4200
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101225943
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License Number State | VA
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