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General NPI Number Information
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NPI Number | 1174881106
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH SWERCZEK M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2012
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 555 S 70TH ST
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City | LINCOLN
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State | NE
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Zip | 68510-2462
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Country | US
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Telephone | 402-219-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 5921 CHARTWELL LANE APT B
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City | LINCOLN
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State | NE
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Zip | 68516-1009
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Country | US
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Telephone | 402-310-4396
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | R-9368
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License Number State | IA
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