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General NPI Number Information
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NPI Number | 1447295670
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Entity Type | Individual
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Provider Name | WANDA S SWIGER ED., D, ATC
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Gender | Female
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 E FAIRVIEW AVE BOX 126, 121 C CLOVERDALE
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City | MONTGOMERY
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State | AL
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Zip | 36106-2114
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Country | US
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Telephone | 334-833-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 E FAIRVIEW AVE BOX 126, 121 C CLOVERDALE
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City | MONTGOMERY
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State | AL
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Zip | 36106-2114
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Country | US
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Telephone | 334-833-4455
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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 | 398
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License Number State | AL
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