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General NPI Number Information
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NPI Number | 1750454039
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Entity Type | Individual
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Provider Name | JANE A. LASKEY MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 575 BEECH ST HOLYOKE MEDICAL CENTER, OUTPT. BEHAV. HEALTH
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City | HOLYOKE
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State | MA
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Zip | 01040-2223
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Country | US
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Telephone | 413-534-2781
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Fax | 413-534-2659
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Provider Business Mailing Address
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Address Line | 84 WOODLOT RD
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City | AMHERST
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State | MA
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Zip | 01002-3452
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Country | US
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Telephone | 413-534-2781
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Fax | 413-534-2659
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 104329
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License Number State | MA
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