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NPI 1225851660

NPI 1225851660 : SWIFT CHAMPS : ROSELLE, NJ

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General NPI Number Information
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    NPI Number           |    1225851660
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    Entity Type          |    Organization 
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    Legal Business Name  |    SWIFT CHAMPS 
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Dates
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    Enumeration Date     |    11/04/2024
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    Last Update Date     |    11/04/2024
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Provider Practice Location Address
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    Address Line         |    532 E 3RD AVE 
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    City                 |    ROSELLE
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    State                |    NJ
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    Zip                  |    07203-1467
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    Country              |    US
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    Telephone            |    908-926-1569
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    532 E 3RD AVE 
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    City                 |    ROSELLE
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    State                |    NJ
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    Zip                  |    07203-1467
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     STEVEN  MORGAN 
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    Credential           |    
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    Telephone            |    908-926-1569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    342000000X
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    Taxonomy Name        |    Transportation Network Company
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    License Number       |    
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    License Number State |    
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