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General NPI Number Information
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NPI Number | 1922439983
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Entity Type | Individual
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Provider Name | BRYAN SWINT CPO/L, M.S.
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Gender | Male
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Dates
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Enumeration Date | 12/02/2013
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 2809 N HURSTBOURNE PKWY 111
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City | LOUISVILLE
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State | KY
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Zip | 40223-1283
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Country | US
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Telephone | 502-882-9300
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Fax | 502-882-8375
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Provider Business Mailing Address
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Address Line | 2809 N HURSTBOURNE PKWY 111
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City | LOUISVILLE
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State | KY
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Zip | 40223-1283
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Country | US
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Telephone | 502-882-9300
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Fax | 502-882-8375
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | LO-285
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | LPO-308
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License Number State | KY
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