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General NPI Number Information
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NPI Number | 1659364172
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Entity Type | Individual
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Provider Name | LYN SWE AYE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 12120 MONT VISTA DR
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City | AUBURN
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State | CA
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Zip | 95603-6052
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Country | US
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Telephone | 530-888-6781
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Fax |
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Provider Business Mailing Address
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Address Line | 12120 MONT VISTA DR
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City | AUBURN
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State | CA
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Zip | 95603-6052
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Country | US
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Telephone | 530-888-6781
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A33962
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License Number State | CA
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