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General NPI Number Information
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NPI Number | 1841652849
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Entity Type | Individual
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Provider Name | THOMAS LAFLORE
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Gender | Male
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 03/28/2016
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Provider Practice Location Address
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Address Line | 7550 FUTURES DR STE 105
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City | ORLANDO
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State | FL
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Zip | 32819-9096
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Country | US
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Telephone | 310-874-6555
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Fax | 321-953-7287
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Provider Business Mailing Address
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Address Line | 1235 BOLIN AVE NE
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City | PALM BAY
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State | FL
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Zip | 32907-1254
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Country | US
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Telephone | 310-874-6555
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Fax | 321-953-7287
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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