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Individual
JAMES RICHARD LAROSE
Active
Individual
JAMES RICHARD LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1467
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480029125
MEDICARE RAILROAD
CA
01
—
6501520001
MEDICARE NSC
CA
05
—
ZZZ80594Z
—
CA
Enumeration date
10/18/2006
Last updated
10/09/2012
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