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General NPI Number Information
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NPI Number | 1902999550
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Entity Type | Organization
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Legal Business Name | M. ELIZABETH SWENOR, DO, PC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2390 MITCHELL PARK DR UNIT D
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City | PETOSKEY
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State | MI
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Zip | 49770
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Country | US
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Telephone | 231-487-9355
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Fax | 231-487-1737
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Provider Business Mailing Address
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Address Line | 2390 MITCHELL PARK DR UNIT D
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City | PETOSKEY
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State | MI
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Zip | 49770
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Country | US
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Telephone | 231-487-9355
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Fax | 231-487-1737
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. MARGARET ELIZABETH SWENOR
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Credential | DO
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Telephone | 231-487-2340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5315016050
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License Number State | MI
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