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General NPI Number Information
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NPI Number | 1164758488
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Entity Type | Organization
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Legal Business Name | DR JAMES EF LOSKOT PA
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Dates
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Enumeration Date | 10/21/2009
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 401 CONSTANT FRIENDSHIP BLVD
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City | ABINGDON
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State | MD
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Zip | 21009-2566
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Country | US
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Telephone | 410-569-9466
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Fax | 410-569-9493
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Provider Business Mailing Address
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Address Line | PO BOX 1008
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City | ABINGDON
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State | MD
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Zip | 21009-6008
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Country | US
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Telephone | 410-569-9466
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Fax | 410-569-9493
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES EDWARD LOSKOT
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Credential | OD
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Telephone | 410-569-9466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA1221
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License Number State | MD
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