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General NPI Number Information
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NPI Number | 1740360577
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Entity Type | Individual
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Provider Name | JAMES L LAZANSKY LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1133 GRAY AVE # B
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City | YUBA CITY
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State | CA
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Zip | 95991
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Country | US
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Telephone | 530-673-4129
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Fax | 530-671-7563
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Provider Business Mailing Address
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Address Line | 1133 GRAY AVE # B
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City | YUBA CITY
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State | CA
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Zip | 95991
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Country | US
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Telephone | 530-673-4129
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Fax | 530-671-7563
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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 | LC57127
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License Number State | CA
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