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General NPI Number Information
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NPI Number | 1891978433
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Entity Type | Individual
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Provider Name | MYRA LEANN SWINTZ RN, NCTMB
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Gender | Female
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 904 RAMBLIN RD
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City | GREENWOOD
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State | IN
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Zip | 46142-8356
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Country | US
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Telephone | 317-319-0865
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Fax | 317-859-0866
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Provider Business Mailing Address
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Address Line | 520 N MADISON AVE SUITE H
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City | GREENWOOD
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State | IN
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Zip | 46142-4083
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Country | US
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Telephone | 317-319-0865
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Fax | 317-859-0866
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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 | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | 28092030A
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License Number State | IN
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