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General NPI Number Information
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NPI Number | 1366574345
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Entity Type | Individual
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Provider Name | CARRIE L SWENDROWSKI PT
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1020 JAMES DR STE E
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City | HARTLAND
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State | WI
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Zip | 53029-8305
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Country | US
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Telephone | 262-928-7444
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Fax |
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Provider Business Mailing Address
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Address Line | W4026 SUNSET DR
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City | EAST TROY
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State | WI
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Zip | 53120-1609
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Country | US
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Telephone | 262-366-9200
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6324-024
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License Number State | WI
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