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NPI 1669448403

NPI 1669448403 : ROBERT D SWIFT DO : SOUTHFIELD, MI

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General NPI Number Information
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    NPI Number           |    1669448403
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT D SWIFT DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/23/2006
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    Last Update Date     |    08/06/2020
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Provider Practice Location Address
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    Address Line         |    27207 LAHSER RD STE 108
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    City                 |    SOUTHFIELD
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    State                |    MI
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    Zip                  |    48034-8470
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    Country              |    US
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    Telephone            |    248-792-4100
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    Fax                  |    248-792-4110
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Provider Business Mailing Address
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    Address Line         |    27207 LAHSER RD STE 108
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    City                 |    SOUTHFIELD
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    State                |    MI
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    Zip                  |    48034-8470
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    Country              |    US
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    Telephone            |    248-792-4100
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    Fax                  |    248-792-4110
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    DO0000001649
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    043790
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    266664
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    License Number State |    NY
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Taxonomy #4
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    5101019062
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    License Number State |    MI
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