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NPI 1689364994

NPI 1689364994 : SARA SWANBERG AUD : PEORIA, AZ

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General NPI Number Information
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    NPI Number           |    1689364994
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    Entity Type          |    Individual 
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    Provider Name        |    SARA SWANBERG AUD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/10/2023
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    Last Update Date     |    01/09/2026
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Provider Practice Location Address
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    Address Line         |    8088 W WHITNEY DR 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85345-6564
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    Country              |    US
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    Telephone            |    602-655-2000
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    Fax                  |    602-655-2304
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Provider Business Mailing Address
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    Address Line         |    6525 N 15TH DR 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85015-1414
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    Country              |    US
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    Telephone            |    602-219-0019
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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        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    DA14883
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    License Number State |    AZ
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