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General NPI Number Information
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NPI Number | 1366975799
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Entity Type | Individual
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Provider Name | SWETHA SIRISINAHAL WOLFSON
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Gender | Female
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 775 FLEISCHMANN WAY
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City | CARSON CITY
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State | NV
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Zip | 89703-2995
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Country | US
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Telephone | 775-445-7756
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Fax | 775-841-0304
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Provider Business Mailing Address
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Address Line | 775 FLEISCHMANN WAY
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City | CARSON CITY
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State | NV
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Zip | 89703-2995
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Country | US
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Telephone | 775-445-7756
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Fax | 775-841-0304
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DO2735
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License Number State | NV
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