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General NPI Number Information
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NPI Number | 1790462869
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Entity Type | Individual
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Provider Name | KATIE SWARTZ FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 11576 S STATE ST STE 101B
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City | DRAPER
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State | UT
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Zip | 84020-7126
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Country | US
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Telephone | 801-999-8252
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Fax |
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Provider Business Mailing Address
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Address Line | 2188 S HIGHLAND DR UNIT 607
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City | SALT LAKE CITY
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State | UT
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Zip | 84106-4794
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Country | US
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Telephone | 330-749-3861
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11024874
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14197236-4405
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License Number State | UT
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