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General NPI Number Information
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NPI Number | 1336391333
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Entity Type | Organization
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Legal Business Name | LASCO CONSTRUCTION LLC
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 28 PAMBROOK DR
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2123
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Country | US
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Telephone | 540-849-8131
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1045
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City | FISHERSVILLE
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State | VA
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Zip | 22939-1045
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Country | US
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Telephone | 540-849-8131
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RODNEY SCOTT SNIDER
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Credential |
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Telephone | 540-849-8131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | 2705104373A
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | 2705104373A
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License Number State | VA
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