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General NPI Number Information
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NPI Number | 1083325674
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Entity Type | Individual
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Provider Name | OLGA-MARI DAVILA SCHWEND DC
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Gender | Female
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 6160 SAINT ANDREWS RD STE 1
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City | COLUMBIA
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State | SC
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Zip | 29212-3145
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Country | US
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Telephone | 803-403-5507
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Fax |
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Provider Business Mailing Address
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Address Line | 83 SAINT ALBANS RD
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City | IRMO
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State | SC
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Zip | 29063-3001
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Country | US
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Telephone | 839-810-6354
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4790.DC
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License Number State | SC
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