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General NPI Number Information
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NPI Number | 1316718786
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Entity Type | Organization
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Legal Business Name | SWAN THERAPY GROUP LLC
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 19342 N MARICOPA RD STE 100
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City | MARICOPA
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State | AZ
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Zip | 85139-2856
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Country | US
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Telephone | 480-687-8512
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Fax | 602-878-9713
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Provider Business Mailing Address
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Address Line | 8777 E VIA DE VENTURA STE 315
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3371
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Country | US
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Telephone | 480-687-8512
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Fax | 602-878-9713
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Authorized Official
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Title or Position | COO
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Name | PAMELA MILLER
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Credential |
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Telephone | 480-687-8512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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