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General NPI Number Information
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NPI Number | 1295729812
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Entity Type | Individual
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Provider Name | STANLEY P LAUCKS JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 7 RATHTON RD
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City | YORK
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State | PA
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Zip | 17403-3717
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Country | US
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Telephone | 717-505-5070
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Fax | 717-505-5075
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Provider Business Mailing Address
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Address Line | 2501 OREGON PIKE SUITE 101
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City | LANCASTER
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State | PA
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Zip | 17601-4890
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Country | US
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Telephone | 717-293-3223
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Fax | 717-390-2455
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD026449E
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License Number State | PA
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