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General NPI Number Information
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NPI Number | 1811090731
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Entity Type | Individual
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Provider Name | NANCY J SWINTEK LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10147 W GRAND AVE VA NORTH WEST HEALTH CARE CLINIC
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City | SUN CITY
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State | AZ
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Zip | 85351
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Country | US
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Telephone | 602-222-2630
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Fax | 602-222-2637
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Provider Business Mailing Address
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Address Line | 10506 W CAMEO DR
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City | SUN CITY
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State | AZ
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Zip | 85351-2225
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Country | US
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Telephone | 623-974-3800
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW3557
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License Number State | AZ
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