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General NPI Number Information
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NPI Number | 1780003764
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Entity Type | Individual
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Provider Name | SWASHA DIONE FIELDS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 4211 VAN DYKE RD STE 101B
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City | LUTZ
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State | FL
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Zip | 33558-8005
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Country | US
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Telephone | 813-960-4026
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Fax | 813-443-8166
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Provider Business Mailing Address
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Address Line | 4211 VAN DYKE RD STE 101B
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City | LUTZ
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State | FL
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Zip | 33558-8005
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Country | US
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Telephone | 813-960-4026
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Fax | 813-443-8166
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME127930
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License Number State | FL
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