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General NPI Number Information
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NPI Number | 1669416863
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Entity Type | Individual
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Provider Name | E. KIM SWIGER R.PH.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | 11600 SUNRISE VALLEY DR SUITE 100
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City | RESTON
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State | VA
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Zip | 20191-1412
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Country | US
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Telephone | 703-865-2031
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Fax | 703-549-9165
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Provider Business Mailing Address
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Address Line | 525 OVERLOOK MOUNTAIN DR
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City | SUWANEE
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State | GA
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Zip | 30024-5481
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Country | US
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Telephone | 770-826-7853
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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 | 0202007810
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License Number State | VA
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