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General NPI Number Information
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NPI Number | 1346409257
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Entity Type | Individual
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Provider Name | CHRIS R. SWARTWOOD PT
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Gender | Male
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 05/24/2010
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Provider Practice Location Address
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Address Line | 2401 W TURNER RD 250
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City | LODI
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State | CA
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Zip | 95242-2182
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Country | US
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Telephone | 805-334-2224
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Fax | 805-334-2225
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Provider Business Mailing Address
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Address Line | 805 AEROVISTA PL 201
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7919
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Country | US
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Telephone | 805-788-0805
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Fax | 805-788-0845
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 26556
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License Number State | CA
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