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General NPI Number Information
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NPI Number | 1558162610
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Entity Type | Individual
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Provider Name | PAUL DAVID SWANSON PLPC
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Gender | Male
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 1811 SHERMAN DR STE 3
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City | SAINT CHARLES
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State | MO
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Zip | 63303-3976
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Country | US
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Telephone | 636-493-0016
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Fax | 888-977-3461
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Provider Business Mailing Address
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Address Line | 3938 WYOMING ST APT A
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City | SAINT LOUIS
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State | MO
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Zip | 63116-3918
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Country | US
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Telephone | 515-868-8419
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2025009326
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License Number State | MO
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