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General NPI Number Information
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NPI Number | 1982417754
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Entity Type | Organization
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Legal Business Name | SWING CARE PROVIDER GROUP, PC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 123 S BROAD ST OFC 156015TH
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City | PHILADELPHIA
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State | PA
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Zip | 19109-1029
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Country | US
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Telephone | 262-667-7326
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Fax | 877-349-1868
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Provider Business Mailing Address
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Address Line | 440 N BARRANCA AVE # 1801
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City | COVINA
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State | CA
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Zip | 91723-1722
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Country | US
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Telephone | 877-349-1868
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Fax | 877-349-1868
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Authorized Official
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Title or Position | HEAD OF OPERATIONS
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Name | JEREMY FRANK
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Credential |
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Telephone | 415-602-0855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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