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General NPI Number Information
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NPI Number | 1669801106
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Entity Type | Individual
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Provider Name | KATELYN SWENSON APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1262 MAIN AVE W
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City | WEST FARGO
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State | ND
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Zip | 58078-1312
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Country | US
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Telephone | 701-499-5525
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Fax |
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Provider Business Mailing Address
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Address Line | 1262 MAIN AVE W
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City | WEST FARGO
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State | ND
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Zip | 58078-1312
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Country | US
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Telephone | 701-499-5525
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 203036
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R37988
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License Number State | ND
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