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General NPI Number Information
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NPI Number | 1821362948
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Entity Type | Individual
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Provider Name | I'KYORI SWABY M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 34 HIGHVIEW AVE
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-1024
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Country | US
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Telephone | 646-479-6415
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Fax |
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Provider Business Mailing Address
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Address Line | 631 EASTERN PKWY APT 3C
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City | BROOKLYN
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State | NY
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Zip | 11213-3316
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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 |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 265998
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 69123
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License Number State | CT
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