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General NPI Number Information
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NPI Number | 1982880944
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Entity Type | Organization
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Legal Business Name | LARA J FIX DO
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Dates
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Enumeration Date | 01/21/2008
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 801 SE OSCEOLA ST
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City | STUART
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State | FL
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Zip | 34994-2431
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Country | US
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Telephone | 772-219-9355
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Fax | 772-219-9357
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Provider Business Mailing Address
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Address Line | PO BOX 1637
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City | STUART
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State | FL
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Zip | 34995-1637
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Country | US
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Telephone | 772-219-9355
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Fax | 772-219-9357
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Authorized Official
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Title or Position | CREDENTIALING
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Name | SHARON A RODNEY
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Credential |
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Telephone | 772-219-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | OS9817
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License Number State | FL
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