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NPI 1104890508

NPI 1104890508 : CAROL TUSANG SWARTZ MD : MINDEN, NV

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General NPI Number Information
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    NPI Number           |    1104890508
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    Entity Type          |    Individual 
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    Provider Name        |    CAROL TUSANG SWARTZ MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/14/2006
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    Last Update Date     |    02/01/2024
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Provider Practice Location Address
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    Address Line         |    1701 COUNTY RD STE H 
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    City                 |    MINDEN
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    State                |    NV
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    Zip                  |    89423-4465
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    Country              |    US
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    Telephone            |    775-782-3933
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    Fax                  |    775-782-1127
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Provider Business Mailing Address
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    Address Line         |    1701 COUNTY RD STE H 
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    City                 |    MINDEN
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    State                |    NV
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    Zip                  |    89423-4465
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    Country              |    US
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    Telephone            |    775-782-3933
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    Fax                  |    775-782-1127
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    10322
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    License Number State |    NV
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    10322
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    License Number State |    NV
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