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General NPI Number Information
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NPI Number | 1679504385
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Entity Type | Individual
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Provider Name | WENDY LYNN SWANSON D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2597 EAST 7TH AVENUE
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City | NORTH ST. PAUL
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State | MN
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Zip | 55109
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Country | US
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Telephone | 651-777-1710
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Fax | 651-777-9108
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Provider Business Mailing Address
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Address Line | 6924 ASHWOOD RD APARTMENT 205
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City | WOODBURY
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State | MN
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Zip | 55125-1290
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Country | US
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Telephone | 651-592-2948
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4790
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License Number State | MN
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