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General NPI Number Information
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NPI Number | 1861577256
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Entity Type | Individual
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Provider Name | MARK SWANSON MD
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Gender | Male
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 92 WEST MILLER STREET
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City | ORLANDO
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State | FL
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Zip | 32806
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Country | US
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Telephone | 321-841-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 102 W. PINELOCH AVE. SUITE 23
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City | ORLANDO
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State | FL
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Zip | 32806
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Country | US
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Telephone | 407-481-7174
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Fax | 407-481-7190
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | ME49629
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License Number State | FL
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