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General NPI Number Information
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NPI Number | 1134988603
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Entity Type | Organization
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Legal Business Name | SWIFT EYE CARE PLLC
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 245 AMITY RD STE 106
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City | WOODBRIDGE
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State | CT
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Zip | 06525-2258
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Country | US
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Telephone | 203-204-8955
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Fax | 203-309-1764
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Provider Business Mailing Address
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Address Line | 245 AMITY RD STE 106
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City | WOODBRIDGE
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State | CT
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Zip | 06525-2258
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Country | US
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Telephone | 203-204-8955
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Fax | 203-309-1764
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Authorized Official
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Title or Position | CO OWNER
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Name | DR. RODERICK SWIFT
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Credential | OD
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Telephone | 603-660-4008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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