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General NPI Number Information
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NPI Number | 1700394277
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Entity Type | Organization
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Legal Business Name | KARLEEN SWARZTRAUBER LLC
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 181 W JEWETT BLVD
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City | WHITE SALMON
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State | WA
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Zip | 98672-8974
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Country | US
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Telephone | 503-816-2959
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37
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City | WHITE SALMON
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State | WA
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Zip | 98672-0037
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KARLEEN SWARZTRAUBER
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Credential |
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Telephone | 503-816-2959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | MD60418023
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License Number State | WA
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