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NPI 1154210979

NPI 1154210979 : GERALDA D SWARINGEN : ROCK HILL, SC

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General NPI Number Information
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    NPI Number           |    1154210979
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    Entity Type          |    Individual 
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    Provider Name        |    GERALDA D SWARINGEN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/30/2025
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    Last Update Date     |    06/30/2025
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Provider Practice Location Address
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    Address Line         |    1300 INDIA HOOK RD 
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    City                 |    ROCK HILL
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    State                |    SC
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    Zip                  |    29732-2412
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    Country              |    US
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    Telephone            |    803-366-5722
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    Fax                  |    803-326-3111
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3545 
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    City                 |    ROCK HILL
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    State                |    SC
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    Zip                  |    29732-5545
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    Country              |    US
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    Telephone            |    803-448-6076
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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        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    2044
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    License Number State |    SC
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