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General NPI Number Information
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NPI Number | 1164753851
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Entity Type | Organization
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Legal Business Name | CHARLES H MCSWAIN DO PC
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 05/07/2010
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Provider Practice Location Address
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Address Line | 801 S RANCHO DR SUITE F-1
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City | LAS VEGAS
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State | NV
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Zip | 89106-3854
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Country | US
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Telephone | 702-419-7529
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Fax | 702-538-8151
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Provider Business Mailing Address
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Address Line | P. O. BOX 777923
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City | LAS VEGAS
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State | NV
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Zip | 89077
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Country | US
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Telephone | 702-419-7529
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Fax | 702-538-8151
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES HENRY MCSWAIN
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Credential | DO
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Telephone | 702-419-7529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 683
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License Number State | NV
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