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General NPI Number Information
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NPI Number | 1013686401
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Entity Type | Individual
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Provider Name | SWETA ALBERTA
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Gender | Female
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 25 S MONROE ST
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City | MONROE
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State | MI
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Zip | 48161-2468
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Country | US
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Telephone | 734-240-3850
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Fax |
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Provider Business Mailing Address
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Address Line | 15945 CANAL RD
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City | CLINTON TWP
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State | MI
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Zip | 48038-1610
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Country | US
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Telephone | 586-416-2300
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Fax | 586-416-2311
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SA0580017
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License Number State |
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