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General NPI Number Information
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NPI Number | 1053306258
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Entity Type | Individual
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Provider Name | MARK FRANKLIN SWANSON M.C.
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Gender | Male
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3231 S COUNTRY CLUB WAY SUITE 111
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City | TEMPE
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State | AZ
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Zip | 85282-4053
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Country | US
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Telephone | 480-491-0835
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Fax | 480-491-5720
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Provider Business Mailing Address
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Address Line | 3820 E EQUESTRIAN TRL
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City | PHOENIX
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State | AZ
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Zip | 85044-3009
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Country | US
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Telephone | 480-893-8614
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC 0994
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License Number State | AZ
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