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General NPI Number Information
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NPI Number | 1174190227
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Entity Type | Individual
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Provider Name | STEPHEN N SWADE DO
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Gender | Male
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Dates
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Enumeration Date | 06/08/2021
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 950 W WOOSTER ST
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City | BOWLING GREEN
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State | OH
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Zip | 43402-2603
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Country | US
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Telephone | 419-354-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 950 W WOOSTER ST
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City | BOWLING GREEN
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State | OH
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Zip | 43402-2603
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Country | US
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Telephone | 419-354-8900
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5151015278APP21
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34.016286
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License Number State | OH
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