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General NPI Number Information
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NPI Number | 1437614740
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Entity Type | Individual
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Provider Name | KATHLEEN ASHMEN SWANIK ATC
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Gender | Female
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Dates
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Enumeration Date | 01/31/2019
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Last Update Date | 01/31/2019
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Provider Practice Location Address
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Address Line | 1 NEUMANN DR
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City | ASTON
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State | PA
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Zip | 19014-1277
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Country | US
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Telephone | 610-361-2478
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Fax |
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Provider Business Mailing Address
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Address Line | 4 MANOR CT
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City | MOORESTOWN
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State | NJ
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Zip | 08057-1649
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Country | US
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Telephone | 856-778-4948
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | PA
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