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General NPI Number Information
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NPI Number | 1285863142
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Entity Type | Organization
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Legal Business Name | SWIFT MEDICAL GROUP
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Dates
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Enumeration Date | 07/13/2009
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Last Update Date | 07/13/2009
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Provider Practice Location Address
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Address Line | 389B DEPRIMO LN
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City | OPELOUSAS
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State | LA
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Zip | 70570-1239
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Country | US
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Telephone | 337-678-0624
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Fax | 337-678-0645
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Provider Business Mailing Address
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Address Line | 389B DEPRIMO LN
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City | OPELOUSAS
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State | LA
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Zip | 70570-1239
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Country | US
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Telephone | 337-678-0624
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Fax | 337-678-0645
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | MRS. GERALDINE PATE
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Credential |
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Telephone | 832-594-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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