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General NPI Number Information
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NPI Number | 1083026926
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Entity Type | Organization
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Legal Business Name | BARBARA D. SWANKHOUSE DDS PC
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 363 S HARLAN ST STE 110
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City | LAKEWOOD
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State | CO
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Zip | 80226-3552
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Country | US
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Telephone | 303-935-6559
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Fax | 303-935-5408
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Provider Business Mailing Address
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Address Line | 363 S HARLAN ST STE 110
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City | LAKEWOOD
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State | CO
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Zip | 80226-3552
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Country | US
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Telephone | 303-935-6559
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Fax | 303-935-5408
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. BARBARA DEANNA SWANKHOUSE
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Credential | DDS
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Telephone | 303-935-6559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 10476
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License Number State | CO
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