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General NPI Number Information
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NPI Number | 1619989944
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Entity Type | Individual
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Provider Name | JAMES RAYMOND SWANBECK JR. MD
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 12/17/2012
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Provider Practice Location Address
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Address Line | 510 UPPER CHESAPEAKE DR SUITE 518
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City | BEL AIR
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State | MD
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Zip | 21014-4328
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Country | US
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Telephone | 443-643-4530
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Fax | 443-643-4535
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Provider Business Mailing Address
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Address Line | PO BOX 467
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City | ABINGDON
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State | MD
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Zip | 21009-0467
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Country | US
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Telephone | 443-643-4600
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Fax | 443-643-4606
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D44713
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License Number State | MD
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