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General NPI Number Information
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NPI Number | 1306579511
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Entity Type | Individual
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Provider Name | PRISCILLA RENAY SWEITZER
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Gender | Female
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 8601 UNIVERSITY EAST DR
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City | CHARLOTTE
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State | NC
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Zip | 28213-4353
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Country | US
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Telephone | 336-470-8405
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Fax |
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Provider Business Mailing Address
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Address Line | 331 SETTLERS RIDGE DR
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City | KANNAPOLIS
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State | NC
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Zip | 28081-7180
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Country | US
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Telephone | 336-470-8405
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904018564
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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