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General NPI Number Information
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NPI Number | 1417951799
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Entity Type | Organization
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Legal Business Name | LASALLE HEALTH SERVICE INC
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 652 E WASHINGTON ST STE 2
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City | NORTH ATTLEBORO
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State | MA
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Zip | 02760-2488
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Country | US
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Telephone | 508-699-2090
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Fax | 509-699-5932
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Provider Business Mailing Address
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Address Line | 652 E WASHINGTON ST STE 2
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City | NORTH ATTLEBORO
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State | MA
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Zip | 02760-2488
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Country | US
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Telephone | 508-699-2090
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Fax | 509-699-5932
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JON F 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 | MA
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