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General NPI Number Information
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NPI Number | 1215970926
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Entity Type | Individual
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Provider Name | MATTHEW R SWELSTAD MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 2515 FORESIGHT CIR UNIT 100
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1156
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Country | US
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Telephone | 970-242-8177
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Fax | 970-255-3558
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Provider Business Mailing Address
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Address Line | 2515 FORESIGHT CIR UNIT 200
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1156
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Country | US
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Telephone | 970-245-2400
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Fax | 970-242-9092
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | DR.0045750
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | DR.0045750
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License Number State | CO
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