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General NPI Number Information
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NPI Number | 1497008130
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Entity Type | Organization
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Legal Business Name | SWATI NIRODI MS, LPC, PLLC
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 1905 J N PEASE PL SUITE 201
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City | CHARLOTTE
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State | NC
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Zip | 28262-4557
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Country | US
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Telephone | 704-906-4765
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 J N PEASE PL SUITE 201
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City | CHARLOTTE
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State | NC
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Zip | 28262-4557
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Country | US
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Telephone | 704-906-4765
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Fax |
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Authorized Official
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Title or Position | MS, LPC, PLLC
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Name | SWATI NIRODI
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Credential | MS, LPC
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Telephone | 704-906-4765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3790
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License Number State | NC
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