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General NPI Number Information
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NPI Number | 1194430280
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Entity Type | Organization
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Legal Business Name | STEPHEN M SWIRSKY DO PA
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 6853 SW 18TH ST STE M-111
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City | BOCA RATON
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State | FL
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Zip | 33433-7056
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Country | US
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Telephone | 954-933-5495
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Fax | 954-947-3535
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Provider Business Mailing Address
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Address Line | 9835 LAKE WORTH RD STE 16-381
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City | LAKE WORTH
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State | FL
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Zip | 33467-2300
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Country | US
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Telephone | 954-933-5495
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Fax | 954-947-3535
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN SWIRSKY
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Credential | DO
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Telephone | 305-975-4117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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