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General NPI Number Information
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NPI Number | 1790027456
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Entity Type | Organization
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Legal Business Name | MCSWAIN MEDICAL OF BATAVIA PLLC
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 04/13/2013
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Provider Practice Location Address
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Address Line | 35 BATAVIA CITY CTR
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City | BATAVIA
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State | NY
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Zip | 14020-2107
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Country | US
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Telephone | 716-551-0684
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Fax |
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Provider Business Mailing Address
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Address Line | 701 SENECA ST SUITE 210
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City | BUFFALO
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State | NY
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Zip | 14210-1351
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MARK MCSWAIN
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Credential | M.D.
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Telephone | 315-730-7448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 201382-1
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License Number State | NY
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