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General NPI Number Information
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NPI Number | 1023920717
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Entity Type | Individual
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Provider Name | KRISTA M SWIHART
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Gender | Female
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 306 EATON LEWISBURG RD
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City | EATON
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State | OH
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Zip | 45320-1105
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Country | US
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Telephone | 937-456-1109
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Fax |
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Provider Business Mailing Address
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Address Line | 39 S MAIN ST
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City | WEST ALEXANDRIA
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State | OH
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Zip | 45381-1245
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Country | US
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Telephone | 937-456-1109
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | LSP.00477
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License Number State | OH
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