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General NPI Number Information
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NPI Number | 1306080221
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Entity Type | Organization
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Legal Business Name | LASALLE HEALTH SERVICES, INC
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 03/24/2011
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Provider Practice Location Address
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Address Line | 1507 ATWOOD AVE
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City | JOHNSTON
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State | RI
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Zip | 02919-3232
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Country | US
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Telephone | 401-331-5374
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Fax | 401-331-5458
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Provider Business Mailing Address
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Address Line | 575 E WASHINGTON ST SUITE 1
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City | NORTH ATTLEBORO
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State | MA
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Zip | 02760-2459
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Country | US
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Telephone | 508-699-2090
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Fax | 508-699-5932
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JON FREDERICK LOMBARDI
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Credential |
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Telephone | 508-699-2090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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