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General NPI Number Information
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NPI Number | 1033611652
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Entity Type | Organization
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Legal Business Name | SWANDER COMMUNICATION SERVICES, LLC
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 12694 S CONVEYANCE WAY
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City | NAMPA
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State | ID
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Zip | 83686-6757
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Country | US
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Telephone | 208-861-7824
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Fax |
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Provider Business Mailing Address
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Address Line | 8 N JEFFERSON ST
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City | NAMPA
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State | ID
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Zip | 83651-7628
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Country | US
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Telephone | 208-861-7824
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MELISSA SWANDER
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Credential | MA, CCC-SLP
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Telephone | 208-861-7824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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