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General NPI Number Information
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NPI Number | 1972602050
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Entity Type | Individual
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Provider Name | THOMAS A SWAFFORD MD
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 1301 W SIXTH STREET SUITE 106
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City | STILLWATER
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State | OK
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Zip | 74074
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Country | US
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Telephone | 405-372-2390
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Fax | 405-742-5706
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Provider Business Mailing Address
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Address Line | 1301 W SIXTH STREET SUITE 106
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City | STILLWATER
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State | OK
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Zip | 74074
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Country | US
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Telephone | 405-372-2390
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Fax | 405-742-5706
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 17951
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License Number State | OK
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