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General NPI Number Information
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NPI Number | 1841284429
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Entity Type | Individual
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Provider Name | FORREST SWAN JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1086 FRANKLIN ST
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City | JOHNSTOWN
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State | PA
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Zip | 15905-4305
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Country | US
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Telephone | 814-534-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 617 W CLAIREMONT AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6223
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Country | US
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Telephone | 715-839-5175
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD488904C
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101054148
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | DR.0062448
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | DR.0062448
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 23266-20
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License Number State | WI
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