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General NPI Number Information
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NPI Number | 1912815572
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Entity Type | Organization
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Legal Business Name | EXPLORATION KIDS HEALTH
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 947 MAIN STREET
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City | DELTA
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State | CO
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Zip | 81416-1816
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Country | US
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Telephone | 970-665-4744
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Fax | 970-665-4724
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Provider Business Mailing Address
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Address Line | 947 MAIN STREET
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City | DELTA
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State | CO
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Zip | 81416-1816
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Country | US
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Telephone | 970-665-4744
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Fax | 970-665-4724
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA NICHOLE HARDY SWANN
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Credential | PSY.D
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Telephone | 404-819-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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