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General NPI Number Information
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NPI Number | 1841658291
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Entity Type | Individual
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Provider Name | NATALIE ANNE SWANN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/31/2016
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 1020 S ANAHEIM BLVD SUITE 215
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City | ANAHEIM
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State | CA
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Zip | 92805-5851
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Country | US
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Telephone | 949-415-4553
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9483
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City | LAGUNA BEACH
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State | CA
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Zip | 92652-7454
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Country | US
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Telephone | 949-415-4553
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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 | 69995
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License Number State | CA
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