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General NPI Number Information
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NPI Number | 1780612549
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Entity Type | Individual
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Provider Name | ROBERT ARTHUR LAROCHE DPM
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 422 N. GENERAL MCMULLEN SUITE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78237-1572
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Country | US
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Telephone | 210-431-9060
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Fax | 210-431-9660
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Provider Business Mailing Address
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Address Line | 18 SWEETWOOD
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City | SAN ANTONIO
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State | TX
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Zip | 78254-5565
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Country | US
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Telephone | 210-431-9900
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Fax | 210-431-9660
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1323
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License Number State | TX
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