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General NPI Number Information
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NPI Number | 1689388662
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Entity Type | Individual
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Provider Name | KELLY ANN SWART PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 136 SCHOLASTIC WAY
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City | CANAJOHARIE
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State | NY
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Zip | 13317-3924
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Country | US
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Telephone | 518-673-6310
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Fax | 518-673-4131
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Provider Business Mailing Address
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Address Line | 136 SCHOLASTIC WAY
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City | CANAJOHARIE
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State | NY
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Zip | 13317-3924
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Country | US
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Telephone | 518-673-6310
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Fax | 518-673-4131
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | NY
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