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General NPI Number Information
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NPI Number | 1912198458
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Entity Type | Individual
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Provider Name | KARLA K. SWARTZ LMT
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Gender | Female
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 815 GENTILLY RD
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City | STATESBORO
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State | GA
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Zip | 30458
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Country | US
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Telephone | 912-531-6529
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Fax |
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Provider Business Mailing Address
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Address Line | 3934 HILL RD
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City | METTER
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State | GA
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Zip | 30439-9365
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Country | US
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Telephone | 912-685-4741
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 007864
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License Number State | GA
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