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General NPI Number Information
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NPI Number | 1346604790
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Entity Type | Organization
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Legal Business Name | JEAN-MARIE SWAINE, LLC
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 2450 GRANADA BLUFF CT
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City | LAS VEGAS
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State | NV
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Zip | 89135-1341
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Country | US
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Telephone | 702-612-5628
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 GRANADA BLUFF CT
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City | LAS VEGAS
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State | NV
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Zip | 89135-1341
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Country | US
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Telephone | 702-612-5628
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | MS. JEAN-MARIE SWAINE
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Credential | APRN
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Telephone | 702-612-5628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 20161097552
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License Number State | NV
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