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General NPI Number Information
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NPI Number | 1013122530
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Entity Type | Individual
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Provider Name | LESLIE BETH SWANSON PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 11983 TAMIAMI TRL N SUITE #132
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City | NAPLES
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State | FL
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Zip | 34110-1603
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Country | US
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Telephone | 239-649-6010
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Fax | 239-598-1417
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Provider Business Mailing Address
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Address Line | 11983 TAMIAMI TRL N SUITE #132
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City | NAPLES
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State | FL
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Zip | 34110-1603
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Country | US
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Telephone | 239-649-6010
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Fax | 239-598-1417
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PY6313
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6313
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PY6313
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PY6313
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PY6313
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License Number State | FL
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