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General NPI Number Information
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NPI Number | 1316083041
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Entity Type | Organization
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Legal Business Name | SWANSON SCHAACK PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 801 STERLING PKWY STE 150
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City | LINCOLN
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State | CA
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Zip | 95648-7326
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Country | US
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Telephone | 916-543-7900
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Fax | 916-543-7910
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Provider Business Mailing Address
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Address Line | 801 STERLING PKWY STE 150
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City | LINCOLN
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State | CA
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Zip | 95648-7326
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Country | US
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Telephone | 916-543-7900
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Fax | 916-543-7910
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Authorized Official
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Title or Position | OWNER PT
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Name | MR. PAUL ELLSWORTH SWANSON
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Credential | PT
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Telephone | 916-789-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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