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NPI 1568459295

NPI 1568459295 : DENNIS A SWARNER OD : KENAI, AK

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General NPI Number Information
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    NPI Number           |    1568459295
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    Entity Type          |    Individual 
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    Provider Name        |    DENNIS A SWARNER OD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/27/2005
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    Last Update Date     |    05/11/2011
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Provider Practice Location Address
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    Address Line         |    110 S WILLOW ST UNIT #108
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    City                 |    KENAI
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    State                |    AK
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    Zip                  |    99611-7744
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    Country              |    US
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    Telephone            |    907-283-7575
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    Fax                  |    907-283-6156
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Provider Business Mailing Address
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    Address Line         |    110 S WILLOW ST UNIT #108
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    City                 |    KENAI
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    State                |    AK
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    Zip                  |    99611-7744
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    Country              |    US
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    Telephone            |    907-283-7575
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    Fax                  |    907-283-6156
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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       |    072
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    License Number State |    AK
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