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General NPI Number Information
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NPI Number | 1043362346
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Entity Type | Organization
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Legal Business Name | LASKO CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 2560 GARDEN RD. SUITE 212
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City | MONTEREY
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State | CA
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Zip | 93940
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Country | US
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Telephone | 831-373-7373
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Fax | 831-373-7305
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Provider Business Mailing Address
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Address Line | 2560 GARDEN RD. SUITE 212
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City | MONTEREY
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State | CA
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Zip | 93940
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Country | US
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Telephone | 831-373-7373
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Fax | 831-373-7305
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Authorized Official
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Title or Position | EXECUTIVE OFFICER
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Name | DR. SHAWN L LASKO
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Credential | D.C.
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Telephone | 831-373-7373
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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 | 28898
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License Number State | CA
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