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General NPI Number Information
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NPI Number | 1720834690
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Entity Type | Individual
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Provider Name | ANNA CELESTE SWINK FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/30/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 218 LAUREL CREEK CT
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City | SPRUCE PINE
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State | NC
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Zip | 28777-3134
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Country | US
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Telephone | 828-447-4945
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Fax |
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Provider Business Mailing Address
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Address Line | 2328 BOSTIC SUNSHINE HWY
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City | BOSTIC
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State | NC
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Zip | 28018-9572
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Country | US
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Telephone | 828-447-4945
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5020140
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License Number State | NC
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