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General NPI Number Information
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NPI Number | 1629881412
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Entity Type | Organization
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Legal Business Name | SSWIGART INC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 27502 AMETHYST WAY
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City | CASTAIC
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State | CA
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Zip | 91384-3166
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Country | US
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Telephone | 760-250-1195
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Fax | 760-205-8511
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Provider Business Mailing Address
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Address Line | PO BOX 83
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City | CASTAIC
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State | CA
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Zip | 91310-0083
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Country | US
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Telephone | 760-250-1195
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Fax | 760-205-8511
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Authorized Official
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Title or Position | MARRIAGE & FAMILY THERAPIST, OWNER
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Name | SHARON MARIE SWIGART
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Credential | LMFT
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Telephone | 760-250-1195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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