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General NPI Number Information
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NPI Number | 1427969492
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Entity Type | Individual
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Provider Name | ANDREA LYNN SWALLOW LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 1526 ATWOOD AVE STE 104
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City | JOHNSTON
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State | RI
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Zip | 02919-3289
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Country | US
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Telephone | 401-246-7090
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MAPLE AVE
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City | SMITHFIELD
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State | RI
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Zip | 02917-3642
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 012627
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 04548
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License Number State | RI
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