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General NPI Number Information
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NPI Number | 1639357338
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Entity Type | Organization
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Legal Business Name | LAUREL SURGICAL CENTER, LLC
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 09/24/2010
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Provider Practice Location Address
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Address Line | 348 DONOHOE RD
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City | GREENSBURG
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State | PA
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Zip | 15601-6988
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Country | US
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Telephone | 724-552-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 348 DONOHOE RD
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City | GREENSBURG
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State | PA
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Zip | 15601-6988
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Country | US
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Telephone | 724-552-0068
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREG LAURO
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Credential |
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Telephone | 724-552-0068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 17351501
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License Number State | PA
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