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General NPI Number Information
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NPI Number | 1699854018
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Entity Type | Individual
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Provider Name | SCOTT R SWOPE DO
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Gender | Male
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Dates
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Enumeration Date | 11/05/2006
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 416 S EAST ST
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City | LEBANON
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State | OH
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Zip | 45036-2378
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Country | US
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Telephone | 513-695-1479
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Fax | 513-695-2402
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Provider Business Mailing Address
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Address Line | 416 S EAST ST
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City | LEBANON
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State | OH
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Zip | 45036-2378
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Country | US
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Telephone | 513-695-1479
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Fax | 513-695-2402
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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 | 34001354
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License Number State | OH
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