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General NPI Number Information
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NPI Number | 1215866520
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Entity Type | Individual
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Provider Name | JORDYN MICHELLE LASH
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Gender | Female
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 519 8TH AVE RM 9
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City | NEW YORK
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State | NY
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Zip | 10018-4582
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Country | US
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Telephone | 917-596-8955
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Fax |
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Provider Business Mailing Address
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Address Line | 26091 DUNDEE RD
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City | HUNTINGTON WOODS
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State | MI
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Zip | 48070-1308
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Country | US
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Telephone | 248-321-7571
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | MI
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