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General NPI Number Information
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NPI Number | 1942524939
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Entity Type | Individual
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Provider Name | MICHAEL SCOTT LASKOSKY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 1 PARKSIDE AVE
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City | SHILLINGTON
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State | PA
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Zip | 19607-1124
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Country | US
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Telephone | 610-775-5262
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Fax |
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Provider Business Mailing Address
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Address Line | 230 NOBLE ST
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City | KUTZTOWN
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State | PA
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Zip | 19530-1718
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Country | US
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Telephone | 856-981-2400
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP439816
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15718
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | A1-0003160
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License Number State | DE
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