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General NPI Number Information
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NPI Number | 1417041542
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Entity Type | Individual
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Provider Name | SUSAN JUDITH SWEIGART MS LPCC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 01/09/2015
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Provider Practice Location Address
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Address Line | 12 W WENGER RD SUITE B-1
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City | ENGLEWOOD
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State | OH
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Zip | 45322-2754
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Country | US
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Telephone | 937-836-4788
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Fax | 937-836-4799
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Provider Business Mailing Address
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Address Line | 12 W WENGER RD SUITE B-1
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City | ENGLEWOOD
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State | OH
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Zip | 45322-2754
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Country | US
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Telephone | 937-826-8478
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Fax | 937-836-4799
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E0003301
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License Number State | OH
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