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General NPI Number Information
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NPI Number | 1811989734
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Entity Type | Individual
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Provider Name | DAVID LESLIE SWANSON DDS
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Gender | Male
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8015 W ALAMEDA AVE
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City | LAKEWOOD
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State | CO
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Zip | 80226-3041
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Country | US
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Telephone | 303-232-2929
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Fax | 303-232-4707
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Provider Business Mailing Address
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Address Line | 1115 S DOWNING ST
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City | DENVER
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State | CO
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Zip | 80210-1714
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Country | US
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Telephone | 303-722-8839
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | HD104849
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License Number State | CO
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