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General NPI Number Information
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NPI Number | 1992835037
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Entity Type | Individual
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Provider Name | JARRETT SWAFFORD PHARM D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 14821 DAYTON PIKE STE 115
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City | SALE CREEK
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State | TN
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Zip | 37373-5752
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Country | US
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Telephone | 423-486-9404
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Fax | 423-486-9434
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Provider Business Mailing Address
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Address Line | PO BOX 646
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City | SALE CREEK
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State | TN
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Zip | 37373-0646
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Country | US
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Telephone | 423-486-9404
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Fax | 423-486-9434
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23990
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License Number State | TN
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