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General NPI Number Information
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NPI Number | 1427093145
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Entity Type | Individual
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Provider Name | JENNIFER SWOBODA MD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 09/24/2013
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Provider Practice Location Address
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Address Line | 380 CELEBRATION PLACE SECOND FLOOR
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City | CELEBRATION
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State | FL
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Zip | 34747
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Country | US
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Telephone | 321-939-3553
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Fax | 321-939-3552
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Provider Business Mailing Address
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Address Line | PO BOX 538600
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City | ORLANDO
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State | FL
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Zip | 32853-8600
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Country | US
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Telephone | 321-939-3553
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME94996
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License Number State | FL
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