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General NPI Number Information
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NPI Number | 1659919892
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Entity Type | Individual
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Provider Name | DR. REBECCA SWAYNGIM
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Gender | Female
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 300 PASTEUR DR RM H0301C
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City | PALO ALTO
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State | CA
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Zip | 94304-2203
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Country | US
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Telephone | 650-498-4354
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Fax |
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Provider Business Mailing Address
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Address Line | 143 OAKWOOD DR
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City | REDWOOD CITY
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State | CA
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Zip | 94061-3929
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Country | US
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Telephone | 828-713-1895
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH81401
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License Number State | CA
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