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General NPI Number Information
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NPI Number | 1265883938
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Entity Type | Individual
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Provider Name | LEIGH ANN SWANK FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 1880 E US HIGHWAY 36
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City | URBANA
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State | OH
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Zip | 43078-9600
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Country | US
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Telephone | 937-887-0164
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Fax |
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Provider Business Mailing Address
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Address Line | 205 E PALMER RD
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-2281
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Country | US
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Telephone | 937-592-4015
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.019424
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.019424
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License Number State | OH
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