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General NPI Number Information
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NPI Number | 1053039024
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Entity Type | Individual
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Provider Name | HAYLEY SUZANN SWANSON NP
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Gender | Female
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 11 INDUSTRIAL BLVD STE 103
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City | PAOLI
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State | PA
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Zip | 19301-1620
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Country | US
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Telephone | 610-786-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 709 S MATLACK ST
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City | WEST CHESTER
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State | PA
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Zip | 19382-3711
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Country | US
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Telephone | 484-288-9677
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP025297
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License Number State | PA
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