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General NPI Number Information
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NPI Number | 1346914033
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Entity Type | Organization
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Legal Business Name | THE SWANSON FOUNDATION
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 3541 25TH ST S STE 200
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City | FARGO
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State | ND
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Zip | 58104-5900
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Country | US
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Telephone | 701-929-3930
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Fax | 702-205-4765
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Provider Business Mailing Address
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Address Line | 809 8TH AVE S
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City | FARGO
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State | ND
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Zip | 58103-2634
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Country | US
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Telephone | 701-491-7977
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | BETS WERPY
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Credential |
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Telephone | 701-491-7977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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