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General NPI Number Information
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NPI Number | 1982612982
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Entity Type | Individual
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Provider Name | JAMES LEE SWINGLER MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 7501 N UNIVERSITY SUITE 113
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City | PEORIA
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State | IL
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Zip | 61614-1234
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Country | US
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Telephone | 309-692-0072
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Fax | 309-692-0193
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Provider Business Mailing Address
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Address Line | 2419 W CORNERSTONE CT
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City | PEORIA
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State | IL
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Zip | 61614-2529
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Country | US
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Telephone | 309-692-2025
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036062855
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License Number State | IL
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