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General NPI Number Information
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NPI Number | 1881076198
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Entity Type | Individual
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Provider Name | JOHN SWAB D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 6301 N LUCERNE AVE
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City | KANSAS CITY
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State | MO
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Zip | 64151-3105
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Country | US
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Telephone | 816-525-2840
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Fax | 816-525-2841
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Provider Business Mailing Address
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Address Line | 2861 NE INDEPENDENCE AVE STE 201
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City | LEES SUMMIT
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State | MO
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Zip | 64064-2379
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Country | US
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Telephone | 816-525-2840
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 05-48109
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 20A18135
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2021014909
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License Number State | MO
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