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General NPI Number Information
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NPI Number | 1427672948
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Entity Type | Individual
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Provider Name | MEGAN LASKASKIE LGSW
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Gender | Female
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 06/01/2020
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Provider Practice Location Address
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Address Line | 1410 BUNDY BLVD
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City | WINONA
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State | MN
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Zip | 55987-6300
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Country | US
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Telephone | 507-452-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 131 WEST AVE S
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City | WEST SALEM
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State | WI
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Zip | 54669-1401
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Country | US
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Telephone | 608-317-5674
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 26716
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License Number State | MN
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