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NPI Code Detail

MEDICARE: MR. JAMES P LARMOUR DC RN DIPL ACUPUCT

MEDICARE:  MR. JAMES P LARMOUR  DC RN DIPL ACUPUCT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor0104000967VA
2171100000XAcupuncturist0104000967VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N1670001OTHERCAREFIRST FEP BCBS
27330059OTHERAETNA NON HMO
32243404OTHERAETNA HMO
4J0110001OTHERCAREFIRST FEP BCBS
5274668OTHERANTHEM BCBS

General Provider Information

NPI Number : 1447268438
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES P LARMOUR DC RN DIPL ACUPUCT
Provider Business Mailing Address
First Line : 10515 WEST DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22030-4230
Country : US
Telephone Number : 703-503-5033
Fax Number : 703-503-5037
Provider Business Practice Location Address
First Line : 10515 WEST DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22030-4230
Country : US
Telephone Number : 703-503-5033
Fax Number : 703-503-5037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 09/15/2011

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