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General NPI Number Information
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NPI Number | 1770658205
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Entity Type | Organization
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Legal Business Name | GREGORY R LAURO PC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 5840 STATE ROUTE 981 SUITE 101
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City | LATROBE
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State | PA
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Zip | 15650-5385
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Country | US
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Telephone | 724-532-1118
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Fax | 724-532-1307
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Provider Business Mailing Address
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Address Line | 5840 STATE ROUTE 981 SUITE 101
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City | LATROBE
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State | PA
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Zip | 15650-5385
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Country | US
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Telephone | 724-532-1118
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Fax | 724-532-1307
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY R LAURO
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Credential | M.D.
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Telephone | 724-532-1118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD043988L
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License Number State | PA
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