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General NPI Number Information
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NPI Number | 1235528100
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Entity Type | Organization
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Legal Business Name | DONALD F. SWARTZ DDS P.C.
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Dates
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Enumeration Date | 01/15/2015
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 195 SOUTH LENA STREET UNIT A
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City | RIDGWAY
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State | CO
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Zip | 81432-1390
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Country | US
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Telephone | 970-626-3303
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Fax | 970-626-4469
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Provider Business Mailing Address
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Address Line | 195 SOUTH LENA STREET
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City | RIDGWAY
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State | CO
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Zip | 81432-1390
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Country | US
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Telephone | 970-626-3303
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Fax | 970-626-4469
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | MR. DONALD FREDERICK SWARTZ
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Credential | DDS
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Telephone | 970-626-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3699
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License Number State | CO
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