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NPI 1740073816

NPI 1740073816 : SW MEDICAL ASSOCIATES PA INC : MILLSBORO, DE

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General NPI Number Information
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    NPI Number           |    1740073816
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    Entity Type          |    Organization 
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    Legal Business Name  |    SW MEDICAL ASSOCIATES PA INC 
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Dates
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    Enumeration Date     |    05/22/2025
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    Last Update Date     |    05/22/2025
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Provider Practice Location Address
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    Address Line         |    26489 CATTAIL LN 
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    City                 |    MILLSBORO
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    State                |    DE
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    Zip                  |    19966-6737
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    Country              |    US
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    Telephone            |    610-909-3254
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    921 CHERRY TREE RD 
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    City                 |    UPPER CHICHESTER
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    State                |    PA
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    Zip                  |    19014-1571
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    Country              |    US
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    Telephone            |    610-909-3254
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     STEPHEN G WALSH 
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    Credential           |    MD
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    Telephone            |    610-909-3254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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