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General NPI Number Information
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NPI Number | 1295991115
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Entity Type | Organization
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Legal Business Name | DR. JOSEPH A. LASCALA & ASSOCIATES P.C.
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 7400 LEWIS AVE SUITE J
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City | TEMPERANCE
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State | MI
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Zip | 48182-9106
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Country | US
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Telephone | 734-847-7640
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Fax | 734-847-7486
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Provider Business Mailing Address
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Address Line | 7400 LEWIS AVE SUITE J
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City | TEMPERANCE
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State | MI
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Zip | 48182-9106
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Country | US
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Telephone | 734-847-7640
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Fax | 734-847-7486
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOSEPH AUGUSTIN LASCALA
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Credential | D.C.
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Telephone | 734-847-7640
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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 | 2301007176
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License Number State | MI
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