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General NPI Number Information
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NPI Number | 1083943658
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Entity Type | Organization
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Legal Business Name | DAVID LASZLO, PC
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 12/10/2009
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Provider Practice Location Address
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Address Line | 611 SW 5TH ST
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City | REDMOND
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State | OR
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Zip | 97756-2808
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Country | US
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Telephone | 541-923-3117
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Fax | 541-923-0275
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Provider Business Mailing Address
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Address Line | 611 SW 5TH ST
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City | REDMOND
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State | OR
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Zip | 97756-2808
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Country | US
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Telephone | 541-923-3117
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Fax | 541-923-0275
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. DAVID A LASZLO
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Credential | AU.D
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Telephone | 541-923-3117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 21844
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 21844
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License Number State | OR
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