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General NPI Number Information
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NPI Number | 1952276586
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Entity Type | Individual
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Provider Name | MADISON SWENSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 6827 1ST AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33707-1242
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Country | US
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Telephone | 727-341-0551
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Fax |
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Provider Business Mailing Address
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Address Line | 12433 102ND AVE
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City | SEMINOLE
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State | FL
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Zip | 33778-3420
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9120956
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License Number State | FL
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