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General NPI Number Information
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NPI Number | 1821723495
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Entity Type | Individual
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Provider Name | AMANDA SWAFFORD M.A.,CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 8706 S US HIGHWAY 25
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City | CORBIN
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State | KY
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Zip | 40701-4974
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Country | US
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Telephone | 606-677-1166
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Fax | 606-677-0693
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Provider Business Mailing Address
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Address Line | 303 SECOND ST
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City | SOMERSET
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State | KY
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Zip | 42501-2390
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Country | US
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Telephone | 606-677-1166
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Fax | 606-677-0693
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 279045
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License Number State | KY
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