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General NPI Number Information
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NPI Number | 1578086070
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Entity Type | Individual
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Provider Name | MALLORY DAWN SWANTEK PLADC, PLMHP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 4508 38TH ST STE 165
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City | COLUMBUS
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State | NE
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Zip | 68601-2131
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Country | US
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Telephone | 402-788-4187
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1800
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City | COLUMBUS
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State | NE
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Zip | 68602-1800
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Country | US
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Telephone | 402-564-7118
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2652
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | P-1510
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11293
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License Number State | NE
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