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NPI Code Detail

MEDICARE: DAVIDA SWANSON

MEDICARE: DAVIDA SWANSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP.8353OH

General Provider Information

NPI Number : 1407258882
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVIDA SWANSON
Provider Business Mailing Address
First Line : PO BOX 5381
Second Line :
City : CINCINNATI
State : OH
Zip : 45201-5381
Country : US
Telephone Number : 513-521-2283
Fax Number :
Provider Business Practice Location Address
First Line : 2651 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2551
Country : US
Telephone Number : 513-363-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2014
Last Update Date : 09/17/2014

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Directions to “ DAVIDA SWANSON ” Practice Location

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