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General NPI Number Information
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NPI Number | 1952640955
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Entity Type | Individual
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Provider Name | JENNIFER MANION SWANEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/11/2013
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Last Update Date | 02/11/2013
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Provider Practice Location Address
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Address Line | 3265 DAVIE BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-2755
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Country | US
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Telephone | 954-641-2610
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Fax | 954-641-2611
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Provider Business Mailing Address
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Address Line | 2716 NE 16TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1619
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Country | US
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Telephone | 954-567-3296
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9173375
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License Number State | FL
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