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General NPI Number Information
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NPI Number | 1467446872
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Entity Type | Individual
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Provider Name | TOMMY SWINEY D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 08/19/2011
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Provider Practice Location Address
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Address Line | 250 JOHN KNOX RD STE 5
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City | TALLAHASSEE
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State | FL
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Zip | 32303-4234
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Country | US
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Telephone | 850-877-3936
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Fax | 850-877-3546
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Provider Business Mailing Address
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Address Line | 250 JOHN KNOX RD STE 5
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City | TALLAHASSEE
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State | FL
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Zip | 32303-4234
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Country | US
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Telephone | 850-877-3936
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Fax | 850-877-3546
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS 9635
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License Number State | FL
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