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General NPI Number Information
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NPI Number | 1508170341
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Entity Type | Individual
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Provider Name | BOGUSLAW SWITALSKI
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Gender | Male
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 2401 S STEMMONS FWY SUITE 2210
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City | LEWISVILLE
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State | TX
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Zip | 75067-8775
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Country | US
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Telephone | 972-459-4908
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Fax |
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Provider Business Mailing Address
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Address Line | 6469 RIDGEMONT DR
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City | DALLAS
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State | TX
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Zip | 75214-1657
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Country | US
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Telephone | 954-993-6543
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7644T
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License Number State | TX
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