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General NPI Number Information
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NPI Number | 1033366521
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Entity Type | Organization
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Legal Business Name | PASQUALE J LAURITO PLLC
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 2325 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102
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Country | US
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Telephone | 702-312-0561
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Fax | 702-312-0614
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Provider Business Mailing Address
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Address Line | 2401 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-2123
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Country | US
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Telephone | 702-312-0561
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Fax | 702-312-0614
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. PASQUALE J LAURITO
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Credential | DC
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Telephone | 702-870-2007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | B617
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License Number State | NV
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