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General NPI Number Information
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NPI Number | 1760058275
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Entity Type | Individual
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Provider Name | NAOMI SWAIN DO
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Gender | Female
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 603 S CHESTNUT ST
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City | ELLENSBURG
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State | WA
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Zip | 98926-3875
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Country | US
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Telephone | 509-933-8693
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Fax | 509-933-8694
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Provider Business Mailing Address
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Address Line | 603 S CHESTNUT ST
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City | ELLENSBURG
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State | WA
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Zip | 98926-3875
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Country | US
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Telephone | 509-933-8693
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Fax | 509-933-8694
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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 | OP61331201
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License Number State | WA
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