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General NPI Number Information
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NPI Number | 1225212541
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Entity Type | Organization
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Legal Business Name | CHESTER A. LASKOSKI, D.P.M
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 12/21/2007
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Provider Practice Location Address
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Address Line | 430 W MAIN ST
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City | NEW HOLLAND
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State | PA
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Zip | 17557-1144
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Country | US
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Telephone | 717-354-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 430 W MAIN ST
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City | NEW HOLLAND
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State | PA
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Zip | 17557-1144
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Country | US
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Telephone | 717-354-6100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHESTER A. LASKOSKI
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Credential | DPM
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Telephone | 717-354-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC001953L
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License Number State | PA
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