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General NPI Number Information
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NPI Number | 1639972128
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Entity Type | Individual
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Provider Name | MEG ELAINE SWANSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 8025 GRAND AVE
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5360
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Country | US
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Telephone | 515-271-1569
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Fax |
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Provider Business Mailing Address
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Address Line | 5515 VISTA DR APT 135
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City | WEST DES MOINES
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State | IA
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Zip | 50266-7579
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Country | US
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Telephone | 651-724-8342
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15505
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License Number State | MN
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