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General NPI Number Information
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NPI Number | 1235117813
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Entity Type | Individual
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Provider Name | CONRAD M SWARTZ M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 03/01/2013
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Provider Practice Location Address
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Address Line | 12911 NW 25TH CT
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City | VANCOUVER
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State | WA
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Zip | 98685-2036
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Country | US
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Telephone | 360-597-3754
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Fax | 888-523-2128
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Provider Business Mailing Address
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Address Line | 12911 NW 25TH CT
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City | VANCOUVER
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State | WA
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Zip | 98685-2036
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Country | US
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Telephone | 360-597-3754
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Fax | 888-523-2128
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD27984
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD00048916
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | MD27984
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | MD00048916
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License Number State | WA
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