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General NPI Number Information
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NPI Number | 1154522332
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Entity Type | Individual
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Provider Name | ANNA O SWAN NP
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 67 CORPORATE DR
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City | PORTSMOUTH
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State | NH
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Zip | 03801-2847
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Country | US
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Telephone | 603-610-8050
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 412503 SUITE 100
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City | BOSTON
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State | MA
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Zip | 02241-8004
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Country | US
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Telephone | 617-726-3884
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Fax | 603-610-2232
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 05689921
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 05689921
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 056899-23
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License Number State | NH
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