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General NPI Number Information
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NPI Number | 1134250608
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Entity Type | Organization
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Legal Business Name | SWINTOSKY AND PETERS
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 1006 LEAWOOD DR. SUITE 200
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City | FRANKFORT
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State | KY
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Zip | 40601
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Country | US
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Telephone | 502-223-0211
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Fax | 502-875-5567
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Provider Business Mailing Address
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Address Line | 1006 LEAWOOD DR. SUITE 200
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City | FRANKFORT
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State | KY
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Zip | 40601
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Country | US
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Telephone | 502-223-0211
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Fax | 502-875-5567
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Authorized Official
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Title or Position | CO-OWNER (CFO)
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Name | MR. DWIGHT PATRICK PETERS
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Credential | D.M.D
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Telephone | 502-223-0211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5885
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7615
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5203
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3950
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6543
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7615
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License Number State | KY
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