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General NPI Number Information
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NPI Number | 1467572586
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Entity Type | Organization
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Legal Business Name | SOUTHWEST & ASSOCIATES
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1660 HOTEL CIR N STE 302
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City | SAN DIEGO
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State | CA
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Zip | 92108-2803
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Country | US
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Telephone | 619-295-4400
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Fax | 619-297-3753
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Provider Business Mailing Address
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Address Line | 1660 HOTEL CIR N STE 302
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City | SAN DIEGO
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State | CA
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Zip | 92108-2803
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Country | US
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Telephone | 619-295-4400
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Fax | 619-297-3753
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Authorized Official
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Title or Position | GENERAL COUNCIL COO
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Name | MR. SHAWN KELLY
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Credential |
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Telephone | 619-295-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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