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General NPI Number Information
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NPI Number | 1316251564
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Entity Type | Organization
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Legal Business Name | SW HEALTH LLC
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 9370 S COLORADO BLVD UNIT A10
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-5206
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Country | US
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Telephone | 303-471-9355
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Fax | 720-306-8987
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Provider Business Mailing Address
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Address Line | 9370 S COLORADO BLVD UNIT A10
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-5206
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Country | US
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Telephone | 303-471-9355
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Fax | 720-306-8987
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. STEPHANIE SHOBER
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Credential | L.AC., DIPL. OM
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Telephone | 303-471-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1538
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License Number State | CO
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