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General NPI Number Information
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NPI Number | 1750319935
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Entity Type | Individual
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Provider Name | SCOTT M SWEAZY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 02/18/2011
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Provider Practice Location Address
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Address Line | 111 WEST HOSPITAL DRIVE
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3405
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Country | US
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Telephone | 803-796-8515
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Fax | 803-796-8516
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Provider Business Mailing Address
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Address Line | 111 W HOSPITAL DR
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3405
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Country | US
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Telephone | 803-796-8515
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Fax | 803-796-8516
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 18292
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 21-8292
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License Number State | SC
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