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NPI 1407195670

NPI 1407195670 : THOMAS B SWINK D.P.T. : LOVELAND, CO

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General NPI Number Information
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    NPI Number           |    1407195670
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS B SWINK D.P.T.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/08/2013
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    Last Update Date     |    01/16/2024
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Provider Practice Location Address
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    Address Line         |    4575 BYRD DR 
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    City                 |    LOVELAND
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    State                |    CO
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    Zip                  |    80538-7198
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    Country              |    US
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    Telephone            |    970-593-3300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 16TH AVE S APT A 
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    City                 |    JACKSONVILLE BEACH
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    State                |    FL
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    Zip                  |    32250-6355
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    Country              |    US
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    Telephone            |    
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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       |    
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    License Number State |    
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