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General NPI Number Information
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NPI Number | 1871363739
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Entity Type | Individual
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Provider Name | CONSTANCE NICOLE ARNOLD SWINDLE LICSW, BCC, 200-RYT
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Gender | Female
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Dates
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Enumeration Date | 01/03/2024
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 229 E 22ND ST
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City | ANNISTON
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State | AL
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Zip | 36207-2905
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Country | US
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Telephone | 256-405-9507
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Fax |
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Provider Business Mailing Address
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Address Line | 229 E 22ND ST
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City | ANNISTON
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State | AL
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Zip | 36207-2905
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Country | US
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Telephone | 256-405-9507
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5496C
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License Number State | AL
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