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General NPI Number Information
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NPI Number | 1730881194
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Entity Type | Individual
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Provider Name | JUSTIN LASKEY RBT
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Gender | Male
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 3704 N 35TH ST
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City | TACOMA
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State | WA
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Zip | 98407-6033
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Country | US
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Telephone | 206-580-6940
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Fax |
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Provider Business Mailing Address
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Address Line | 401 9TH AVE N APT 502
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City | SEATTLE
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State | WA
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Zip | 98109-4730
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Country | US
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Telephone | 304-433-5957
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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