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General NPI Number Information
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NPI Number | 1659810810
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Entity Type | Organization
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Legal Business Name | SWIS PURCHASE, LLC
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 473 OLD SYMSONIA RD
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City | BENTON
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State | KY
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Zip | 42025-5044
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Country | US
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Telephone | 270-252-7400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 340
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City | ELIZABETHTOWN
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State | KY
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Zip | 42702-0340
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Country | US
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Telephone | 270-252-7400
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Fax | 270-252-7419
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Authorized Official
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Title or Position | HUMAN RESOURCE DIRECTO
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Name | STEPHANIE TREXLER
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Credential |
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Telephone | 270-252-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State | KY
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