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NPI 1780743666

NPI 1780743666 : JEFFREY MCKEAN SWAN P.A.-C : WINTERSET, IA

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General NPI Number Information
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    NPI Number           |    1780743666
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    Entity Type          |    Individual 
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    Provider Name        |    JEFFREY MCKEAN SWAN P.A.-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/07/2006
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    Last Update Date     |    06/10/2025
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Provider Practice Location Address
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    Address Line         |    300 W HUTCHINGS ST 
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    City                 |    WINTERSET
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    State                |    IA
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    Zip                  |    50273-2109
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    Country              |    US
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    Telephone            |    515-462-5116
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2350 HOSPITAL DR 
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    City                 |    WEBSTER CITY
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    State                |    IA
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    Zip                  |    50595-6600
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    Country              |    US
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    Telephone            |    515-832-9400
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    Fax                  |    515-832-9494
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    001117
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    License Number State |    IA
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