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General NPI Number Information
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NPI Number | 1922520055
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Entity Type | Individual
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Provider Name | REBECCA JOY SWINDLE
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Gender | Female
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Dates
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Enumeration Date | 07/11/2017
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Last Update Date | 07/01/2019
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Provider Practice Location Address
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Address Line | 18 N FORGE ST
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City | AKRON
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State | OH
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Zip | 44304
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Country | US
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Telephone | 330-762-0591
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Fax |
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Provider Business Mailing Address
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Address Line | 18 N FORGE ST
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City | AKRON
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State | OH
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Zip | 44304-1317
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Country | US
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Telephone | 330-762-0591
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | M9061
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801101137
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1701031
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License Number State | OH
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