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General NPI Number Information
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NPI Number | 1639199110
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Entity Type | Individual
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Provider Name | MARK G SCHWEI MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 2870 E LIVE OAK CIR
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City | HOLLADAY
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State | UT
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Zip | 84117-5544
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Country | US
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Telephone | 801-870-9746
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Fax |
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Provider Business Mailing Address
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Address Line | 2870 E LIVE OAK CIR
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City | HOLLADAY
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State | UT
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Zip | 84117-5544
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Country | US
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Telephone | 801-870-9746
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD00035473
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 57098911205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | G50823
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License Number State | CA
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