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General NPI Number Information
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NPI Number | 1053837369
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Entity Type | Individual
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Provider Name | MELISSA CANTRELL SWOFFORD NP
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Gender | Female
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 151 E WOOD ST
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City | SPARTANBURG
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State | SC
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Zip | 29303-3016
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Country | US
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Telephone | 864-345-1020
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Fax | 877-215-1965
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Provider Business Mailing Address
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Address Line | 3349 BATTLEGROUND RD
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City | COWPENS
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State | SC
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Zip | 29330-9437
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Country | US
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Telephone | 864-809-9249
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21128
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License Number State | SC
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