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General NPI Number Information
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NPI Number | 1588323885
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Entity Type | Individual
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Provider Name | JAMIE SWENSON RPH
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Gender | Female
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1100 CANYON VIEW DR
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City | SANTA CLARA
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State | UT
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Zip | 84765-5671
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Country | US
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Telephone | 435-703-9680
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Fax |
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Provider Business Mailing Address
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Address Line | 728 PRICKLY PEAR CT
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City | HOLLOMAN AFB
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State | NM
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Zip | 88330-8819
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Country | US
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Telephone | 801-669-3165
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP00009592
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License Number State | NM
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