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General NPI Number Information
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NPI Number | 1255529319
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Entity Type | Organization
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Legal Business Name | DR MARIANNE S LASKOWSKI LTD
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Dates
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Enumeration Date | 10/13/2007
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Last Update Date | 03/22/2017
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Provider Practice Location Address
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Address Line | 103 N HAVEN RD STE 8
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City | ELMHURST
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State | IL
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Zip | 60126-2923
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Country | US
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Telephone | 630-782-6670
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Fax | 630-782-6674
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Provider Business Mailing Address
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Address Line | 103 N HAVEN RD STE 8
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City | ELMHURST
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State | IL
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Zip | 60126-2923
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Country | US
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Telephone | 630-782-6670
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Fax | 630-782-6674
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIANNE STEPHANIE LASKOWSKI
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Credential | DC
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Telephone | 630-792-6670
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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 | 060008329
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License Number State | IL
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