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General NPI Number Information
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NPI Number | 1497126445
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Entity Type | Individual
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Provider Name | DEBRA SWANSON ND
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Gender | Female
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Dates
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Enumeration Date | 10/16/2015
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 329 W RAILROAD AVE STE 204
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City | SHELTON
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State | WA
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Zip | 98584-3572
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Country | US
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Telephone | 360-531-7704
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Fax | 360-531-6112
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Provider Business Mailing Address
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Address Line | PO BOX 3302
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City | SHELTON
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State | WA
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Zip | 98584-4429
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Country | US
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Telephone | 360-531-7704
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Fax | 360-531-6112
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT60605912
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License Number State | WA
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