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NPI 1306662465

NPI 1306662465 : CLARA INES SWARUP CRNP-PMH : LANHAM, MD

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General NPI Number Information
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    NPI Number           |    1306662465
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    Entity Type          |    Individual 
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    Provider Name        |    CLARA INES SWARUP CRNP-PMH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/22/2024
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    Last Update Date     |    11/13/2025
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Provider Practice Location Address
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    Address Line         |    4500 FORBES BLVD STE 200 
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    City                 |    LANHAM
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    State                |    MD
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    Zip                  |    20706-6316
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    Country              |    US
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    Telephone            |    202-823-2362
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    Fax                  |    301-560-8244
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Provider Business Mailing Address
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    Address Line         |    7500 FORBES BLVD STE 200 
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    City                 |    LANHAM
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    State                |    MD
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    Zip                  |    20706-2576
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    Country              |    US
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    Telephone            |    202-823-2362
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    Fax                  |    301-560-8244
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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       |    R174286
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    License Number State |    MD
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