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General NPI Number Information
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NPI Number | 1922100106
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Entity Type | Individual
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Provider Name | JUAN MANUEL LARRAURI M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 3414 DUCK AVE UNIT 10
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City | KEY WEST
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State | FL
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Zip | 33040-4495
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Country | US
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Telephone | 57-417-7073
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Fax | 339-023-6158
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Provider Business Mailing Address
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Address Line | 3414 DUCK AVE UNIT 10
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City | KEY WEST
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State | FL
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Zip | 33040-4495
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Country | US
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Telephone | 305-741-7707
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Fax | 339-023-6158
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME51573
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0051573
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License Number State | FL
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