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General NPI Number Information
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NPI Number | 1255677399
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Entity Type | Individual
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Provider Name | ALEXANDER J LAKOS
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Gender | Male
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 521 DONALD LYNCH BLVD
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City | MARLBOROUGH
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State | MA
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Zip | 01752-4725
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Country | US
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Telephone | 508-460-3821
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Fax |
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Provider Business Mailing Address
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Address Line | 869 MAIN ST STE 7
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City | WALPOLE
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State | MA
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Zip | 02081-2985
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 229
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License Number State | MA
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