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General NPI Number Information
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NPI Number | 1417236290
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Entity Type | Individual
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Provider Name | LINDA MARY SWAYDIS L.C.S.W. - C
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Gender | Female
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 857 PARK AVE
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City | BALTIMORE
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State | MD
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Zip | 21201-4800
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Country | US
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Telephone | 410-244-6633
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Fax |
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Provider Business Mailing Address
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Address Line | 861 BOSLEY AVE
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City | TOWSON
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State | MD
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Zip | 21204-2609
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Country | US
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Telephone | 410-769-9015
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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 | 09872
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License Number State | MD
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