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General NPI Number Information
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NPI Number | 1538959853
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Entity Type | Individual
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Provider Name | SWETHA LAKKUR M.SC
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 4645 SAMUELL BLVD
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City | DALLAS
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State | TX
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Zip | 75228-6826
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Country | US
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Telephone | 214-275-7393
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Fax |
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Provider Business Mailing Address
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Address Line | 6362 SHADY BROOK LN APT 2199
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City | DALLAS
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State | TX
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Zip | 75206-1452
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Country | US
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Telephone | 585-365-5444
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 91665
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License Number State | TX
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