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General NPI Number Information
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NPI Number | 1548116296
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Entity Type | Organization
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Legal Business Name | SWING CARE PROVIDER GROUP PC
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 200 W MONROE ST OFC 203
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City | PHOENIX
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State | AZ
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Zip | 85003-1740
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Country | US
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Telephone | 800-924-7811
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Fax | 877-349-1868
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Provider Business Mailing Address
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Address Line | 440 N BARRANCA AVE # 1801
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City | COVINA
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State | CA
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Zip | 91723-1722
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Country | US
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Telephone | 800-924-7811
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Fax | 877-349-1868
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Authorized Official
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Title or Position | SR. REVENUE CYCLE MANAGER
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Name | SEAN MARTINEZ
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Credential |
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Telephone | 262-667-7326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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