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General NPI Number Information
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NPI Number | 1972605038
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Entity Type | Individual
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Provider Name | JOSE CARLOS LARUMBE DDS, MS
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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 | 07/09/2007
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Provider Practice Location Address
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Address Line | 3200 S UNIVERSITY DR
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City | DAVIE
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State | FL
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Zip | 33328-2018
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Country | US
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Telephone | 954-262-7339
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Fax | 954-262-1782
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Provider Business Mailing Address
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Address Line | 387 HARBOR CT
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City | WESTON
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State | FL
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Zip | 33326-1805
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Country | US
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Telephone | 954-659-1935
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Fax | 954-262-1782
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DTP # 259
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License Number State | FL
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