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General NPI Number Information
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NPI Number | 1588054266
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Entity Type | Individual
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Provider Name | CANDICE ELIZABETH SWERDLOW CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 905 STONE BARN RD
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City | TOWSON
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State | MD
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Zip | 21286-1464
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Country | US
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Telephone | 443-791-3418
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Fax |
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Provider Business Mailing Address
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Address Line | 2635 STOCKTON RD
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City | PHOENIX
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State | MD
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Zip | 21131-1117
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Country | US
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Telephone | 443-791-3418
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 91255
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License Number State | MD
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