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General NPI Number Information
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NPI Number | 1548561087
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Entity Type | Organization
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Legal Business Name | JANET LAXALT, L.C.S.W
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 65 REGENCY WAY SUITE C
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City | RENO
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State | NV
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Zip | 89509-3423
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Country | US
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Telephone | 775-240-9069
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Fax |
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Provider Business Mailing Address
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Address Line | 1955 VILLA WAY S
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City | RENO
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State | NV
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Zip | 89509-5826
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Country | US
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Telephone | 775-240-9069
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. JANET LAXALT
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Credential | L.C.S.W.
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Telephone | 775-240-9069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2039-C
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License Number State | NV
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