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General NPI Number Information
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NPI Number | 1821164591
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Entity Type | Organization
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Legal Business Name | PHILIP LARKINS, DPM
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 925 E PENNSYLVANIA AVE STE H
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City | ESCONDIDO
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State | CA
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Zip | 92025-3432
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Country | US
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Telephone | 760-741-1005
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Fax | 760-741-1032
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Provider Business Mailing Address
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Address Line | 925 E PENNSYLVANIA AVE STE H
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City | ESCONDIDO
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State | CA
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Zip | 92025-3432
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Country | US
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Telephone | 760-741-1005
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Fax | 760-741-1032
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Authorized Official
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Title or Position | OWNER & PROVIDER
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Name | DR. PHILIP EDWARD LARKINS
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Credential | D.P.M.
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Telephone | 760-741-1005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | E4457
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | E4457
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License Number State | CA
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