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General NPI Number Information
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NPI Number | 1093598898
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Entity Type | Organization
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Legal Business Name | CS PACS 3 NORTHEAST, LLC
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 106 BOW ST
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City | ELKTON
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State | MD
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Zip | 21921-5544
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Country | US
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Telephone | 410-398-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1643 NW 136TH AVE STE 100
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City | SUNRISE
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State | FL
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Zip | 33323-2857
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Country | US
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Telephone | 865-500-1325
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DARREN SWENSON
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Credential | MD
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Telephone | 865-693-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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