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General NPI Number Information
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NPI Number | 1538325485
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Entity Type | Individual
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Provider Name | ERIN K SWANSON R.D.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 901 GRANT ST
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City | HARVARD
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State | IL
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Zip | 60033-1821
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Country | US
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Telephone | 815-943-5431
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Fax | 815-943-0659
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Provider Business Mailing Address
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Address Line | 6910 MEADOW DR
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City | CRYSTAL LAKE
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State | IL
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Zip | 60012-3240
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Country | US
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Telephone |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 896876
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164-003690
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License Number State | IL
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