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General NPI Number Information
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NPI Number | 1467934935
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Entity Type | Individual
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Provider Name | KARA SWOGGER OTR/L, CLT
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Gender | Female
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 2405 MARKET ST
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City | YOUNGSTOWN
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State | OH
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Zip | 44507-1432
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Country | US
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Telephone | 330-746-7641
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Fax |
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Provider Business Mailing Address
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Address Line | 6338 E SOUTH RANGE RD
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City | PETERSBURG
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State | OH
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Zip | 44454-9706
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Country | US
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Telephone | 724-730-6139
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC014898
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT009620
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License Number State | OH
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