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General NPI Number Information
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NPI Number | 1669698544
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Entity Type | Individual
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Provider Name | ANSHUMAN SWAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 819 STATE ROUTE 664 N STE B
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City | LOGAN
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State | OH
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Zip | 43138-8540
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Country | US
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Telephone | 740-380-8171
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Fax | 740-380-8396
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Provider Business Mailing Address
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Address Line | 819 STATE ROUTE 664 N STE B
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City | LOGAN
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State | OH
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Zip | 43138-8540
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Country | US
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Telephone | 740-380-8171
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Fax | 740-380-8396
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 35.093405
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License Number State | OH
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