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General NPI Number Information
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NPI Number | 1245757251
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Entity Type | Organization
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Legal Business Name | LANASKY & ASSOCIATES PLLC
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 738 W GRAND RIVER AVE STE C
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City | BRIGHTON
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State | MI
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Zip | 48116-2332
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Country | US
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Telephone | 810-522-8445
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Fax | 810-522-8446
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Provider Business Mailing Address
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Address Line | 5269 DANIEL DR
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City | BRIGHTON
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State | MI
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Zip | 48114-9036
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Country | US
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Telephone | 734-377-2035
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Fax | 810-522-8446
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MRS. BARBARA JEAN LANASKY
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Credential | LMSW
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Telephone | 734-377-2035
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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 | 6801034752
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License Number State | MI
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Taxonomy #2
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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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