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General NPI Number Information
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NPI Number | 1760756647
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Entity Type | Organization
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Legal Business Name | FRANK LACHOWSKY M.D., P.A.
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Dates
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Enumeration Date | 02/24/2012
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Last Update Date | 05/01/2012
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Provider Practice Location Address
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Address Line | 41 FAIRPOINT DR SUITE F
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City | GULF BREEZE
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State | FL
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Zip | 32561-4396
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Country | US
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Telephone | 850-932-9434
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Fax |
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Provider Business Mailing Address
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Address Line | 41 FAIRPOINT DR SUITE F
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City | GULF BREEZE
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State | FL
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Zip | 32561-4396
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Country | US
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Telephone | 850-932-9434
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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. FRANK LACHOWSKY
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Credential | M.D.
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Telephone | 850-932-9434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | ME67710
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License Number State | FL
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