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General NPI Number Information
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NPI Number | 1679701338
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Entity Type | Organization
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Legal Business Name | DR LOUIS LAPORTA LLC
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 18920 US HIGHWAY 41
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City | SPRING HILL
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State | FL
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Zip | 34610-2244
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Country | US
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Telephone | 727-836-0943
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Fax |
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Provider Business Mailing Address
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Address Line | 18920 US HIGHWAY 41
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City | SPRING HILL
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State | FL
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Zip | 34610-2244
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Country | US
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Telephone | 727-836-0943
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. LOUIS T LAPORTA
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Credential | PSY.D.
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Telephone | 561-901-1430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY5882
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License Number State | FL
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