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General NPI Number Information
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NPI Number | 1174707806
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Entity Type | Individual
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Provider Name | HEATHER ANNE SWALLOW N.D.
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Gender | Female
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 839 E WINDING CREEK DR STE 102
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City | EAGLE
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State | ID
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Zip | 83616-7236
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Country | US
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Telephone | 208-957-6337
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Fax |
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Provider Business Mailing Address
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Address Line | 2 LOWER RAGSDALE DR STE 270
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City | MONTEREY
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State | CA
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Zip | 93940-7869
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Country | US
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Telephone | 831-648-1870
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Fax | 831-648-1872
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND-262
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NMD-0081
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License Number State | ID
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