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General NPI Number Information
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NPI Number | 1104237569
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Entity Type | Individual
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Provider Name | LATASHA MARIE SWAFFORD NP
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Gender | Female
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 8780 US 42
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City | FLORENCE
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State | KY
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Zip | 41042-6936
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Country | US
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Telephone | 859-384-8320
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Fax | 859-384-8338
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Provider Business Mailing Address
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Address Line | 237 WILLIAM HOWARD TAFT RD
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City | CINCINNATI
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State | OH
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Zip | 45219-2610
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Country | US
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Telephone | 513-351-9900
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.15881-NP
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License Number State | OH
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