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General NPI Number Information
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NPI Number | 1942527718
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Entity Type | Organization
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Legal Business Name | JEFFREY M. LASKOFF, M.D., P.A.
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 05/03/2010
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Provider Practice Location Address
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Address Line | 1502 LUCERNE TER
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City | ORLANDO
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State | FL
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Zip | 32806-2017
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Country | US
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Telephone | 407-841-3620
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Fax | 407-843-8423
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Provider Business Mailing Address
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Address Line | 1502 LUCERNE TER
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City | ORLANDO
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State | FL
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Zip | 32806-2017
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Country | US
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Telephone | 407-841-3620
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Fax | 407-843-8423
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Authorized Official
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Title or Position | PRESIDENET
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Name | DR. JEFFREY MICHAEL LASKOFF
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Credential | M.D.
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Telephone | 407-841-3620
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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 | ME23702
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License Number State | FL
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