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General NPI Number Information
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NPI Number | 1467426668
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Entity Type | Individual
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Provider Name | STEPHAN EARL SWEARNGIN DO
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 975 RYLAND ST STE 100
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City | RENO
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State | NV
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Zip | 89502-1667
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Country | US
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Telephone | 775-982-5000
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Fax | 775-982-5225
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Provider Business Mailing Address
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Address Line | 1600 MEDICAL PKWY
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City | CARSON CITY
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State | NV
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Zip | 89703-4625
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Country | US
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Telephone | 775-445-8781
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Fax | 775-888-3225
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 876
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License Number State | NV
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