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General NPI Number Information
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NPI Number | 1386038412
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Entity Type | Individual
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Provider Name | BRIAN SWENDSEID
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Gender | Male
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 513 PARNASSUS AVE S-321
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-0470
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Country | US
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Telephone | 415-467-1239
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Fax |
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-293-2594
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Fax | 614-293-4487
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 35141757
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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