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General NPI Number Information
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NPI Number | 1306818935
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Entity Type | Individual
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Provider Name | SEAN ADAM SWIATKOWSKI D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 10/19/2009
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-295-6157
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MIDDLEBRIDGE CT
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City | SILVER SPRING
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State | MD
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Zip | 20906-5812
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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 |
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 02002280A
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License Number State | IN
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