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General NPI Number Information
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NPI Number | 1316261548
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Entity Type | Individual
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Provider Name | MRS. LAURA MICHELE SWARTWOOD
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Gender | Female
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 7200 CHITTAMWOOD CT
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City | DENTON
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State | TX
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Zip | 76208-7393
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Country | US
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Telephone | 757-641-0137
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 CHITTAMWOOD CT
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City | DENTON
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State | TX
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Zip | 76208-7393
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Country | US
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Telephone | 757-641-0137
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | SA00424
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License Number State | TX
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