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General NPI Number Information
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NPI Number | 1699492959
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Entity Type | Individual
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Provider Name | SETH SWARY PHD, LPC, CMPC
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Gender | Male
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 01/07/2023
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Provider Practice Location Address
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Address Line | 6201 2ND AVE
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City | DETROIT
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State | MI
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Zip | 48202-3405
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Country | US
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Telephone | 313-747-8667
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FORD PL STE 3A
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 313-874-4806
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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 | 6401223033
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6401223033
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License Number State | MI
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