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General NPI Number Information
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NPI Number | 1437292000
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Entity Type | Individual
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Provider Name | MRS. PATRICIA ANN SWISHER
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 624 FAIRMONT AVE
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City | FAIRMONT
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State | WV
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Zip | 26554-5104
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Country | US
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Telephone | 304-366-1438
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Fax | 304-366-7514
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Provider Business Mailing Address
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Address Line | RR 4 BOX 101 A
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City | GRAFTON
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State | WV
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Zip | 26354-9314
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Country | US
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Telephone | 304-265-5482
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Fax | 304-265-5482
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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 | CPE0454669
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License Number State | WV
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