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General NPI Number Information
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NPI Number | 1538606652
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Entity Type | Individual
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Provider Name | HILLERY MARGARET SWANSON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/26/2017
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 3205 HURLEY WAY
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City | SACRAMENTO
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State | CA
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Zip | 95864-3853
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Country | US
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Telephone | 925-787-6966
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Fax | 916-679-3100
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Provider Business Mailing Address
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Address Line | 541 MORSE AVE APT C
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City | SACRAMENTO
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State | CA
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Zip | 95864-4942
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Country | US
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Telephone | 925-787-6966
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 292337
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 292337
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License Number State | CA
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