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General NPI Number Information
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NPI Number | 1033042429
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Entity Type | Individual
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Provider Name | CLARA LEISTER SWANSON CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 9040 JACKSON AVE JOINT BASE LEWIS-MCCHORD
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 802-356-5336
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Fax |
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Provider Business Mailing Address
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Address Line | 25 MEADOWVIEW LN
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City | HARTLAND
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State | VT
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Zip | 05048-9445
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Country | US
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Telephone |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 062.0120628
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License Number State | VT
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