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General NPI Number Information
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NPI Number | 1376251504
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Entity Type | Organization
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Legal Business Name | LAL VENTURES GROUP
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 67 BUCK RD STE 105
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-1535
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Country | US
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Telephone | 267-234-7021
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Fax |
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Provider Business Mailing Address
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Address Line | 2329 STREET RD # 1048
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City | BENSALEM
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State | PA
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Zip | 19020-2806
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Country | US
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Telephone | 267-234-7021
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA ANNMARIE LASLEY-SANDERS
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Credential |
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Telephone | 215-439-3521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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