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General NPI Number Information
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NPI Number | 1841450608
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Entity Type | Individual
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Provider Name | STANLEY JOSEPH SZWAST M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 11310 KNIGHTSBRIDGE LN
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City | FISHERS
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State | IN
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Zip | 46037-9151
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Country | US
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Telephone | 317-845-9322
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Fax | 317-845-0599
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Provider Business Mailing Address
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Address Line | PO BOX 70
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City | FISHERS
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State | IN
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Zip | 46038-0070
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Country | US
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Telephone | 317-845-9322
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Fax | 317-845-0599
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01063496A
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License Number State | IN
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