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NPI 1104794916

NPI 1104794916 : ERICA SWINTON : FORT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1104794916
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    Entity Type          |    Individual 
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    Provider Name        |    ERICA SWINTON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/24/2025
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    Last Update Date     |    10/24/2025
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Provider Practice Location Address
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    Address Line         |    345 SW 27TH AVE 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33312-2050
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    Country              |    US
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    Telephone            |    954-304-9770
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    Fax                  |    954-304-9775
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Provider Business Mailing Address
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    Address Line         |    2481 NW 12TH CT 
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    City                 |    POMPANO BEACH
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    State                |    FL
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    Zip                  |    33069-1835
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    Country              |    US
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    Telephone            |    786-810-4180
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    Fax                  |    786-810-4180
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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       |    IMH27198
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    License Number State |    FL
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