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General NPI Number Information
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NPI Number | 1104441542
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Entity Type | Individual
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Provider Name | JODIE MARIE LASKY DC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 4385 RECREATION DR
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City | CANANDAIGUA
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State | NY
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Zip | 14424-2232
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Country | US
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Telephone | 585-905-0036
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Fax | 585-905-0081
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Provider Business Mailing Address
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Address Line | 4385 RECREATION DR
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City | CANANDAIGUA
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State | NY
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Zip | 14424-2232
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Country | US
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Telephone | 585-704-0348
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Fax | 888-974-2190
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X013371
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License Number State | NY
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