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General NPI Number Information
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NPI Number | 1174499362
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Entity Type | Organization
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Legal Business Name | SWALLOWING WELLNESS, LLC
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 4641 MONTGOMERY AVE STE 300
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City | BETHESDA
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State | MD
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Zip | 20814-3430
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Country | US
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Telephone | 301-288-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 4641 MONTGOMERY AVE STE 300
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City | BETHESDA
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State | MD
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Zip | 20814-3430
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IANESSA HUMBERT
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Credential | SLP
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Telephone | 240-472-1051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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