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General NPI Number Information
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NPI Number | 1144285461
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Entity Type | Individual
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Provider Name | CHANNING S SWAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 703 RIVERWAY PL
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City | BEDFORD
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State | NH
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Zip | 03110-6768
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Country | US
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Telephone | 603-668-7096
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Fax | 603-669-6944
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Provider Business Mailing Address
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Address Line | 703 RIVERWAY PL
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City | BEDFORD
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State | NH
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Zip | 03110-6768
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Country | US
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Telephone | 603-668-7096
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Fax | 603-669-6944
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 6467
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License Number State | NH
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