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General NPI Number Information
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NPI Number | 1265614879
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Entity Type | Individual
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Provider Name | JENNIFER K SWAGGARD LISW-S
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Gender | Female
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 2821 WOODLAWN AVE NW
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City | CANTON
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State | OH
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Zip | 44708-1423
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Country | US
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Telephone | 330-479-4895
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Fax |
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Provider Business Mailing Address
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Address Line | 3272 NIMISHILLEN CHURCH RD NE
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City | HARTVILLE
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State | OH
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Zip | 44632-9742
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Country | US
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Telephone | 330-284-4440
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S30489
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | OH
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