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General NPI Number Information
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NPI Number | 1003478421
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Entity Type | Individual
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Provider Name | SWETHA PADURI MD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2019
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 2202 N JOHN B DENNIS HWY STE 100
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City | KINGSPORT
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State | TN
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Zip | 37660-5904
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Country | US
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Telephone | 423-578-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 W OAKLAND AVE STE 310
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2192
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Country | US
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Telephone | 423-952-2111
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Fax | 423-282-1657
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 74349
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.160602
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License Number State | IL
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