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General NPI Number Information
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NPI Number | 1235504713
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Entity Type | Individual
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Provider Name | CATHERINE D SWAIN STNA
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Gender | Female
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 5131 FREE PIKE
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City | TROTWOOD
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State | OH
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Zip | 45426-2304
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Country | US
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Telephone | 937-321-7924
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Fax |
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Provider Business Mailing Address
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Address Line | 5131 FREE PIKE
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City | TROTWOOD
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State | OH
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Zip | 45426-2304
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Country | US
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Telephone | 937-837-8520
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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