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General NPI Number Information
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NPI Number | 1013553338
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Entity Type | Individual
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Provider Name | SWETA PATEL
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Gender | Female
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 44525 ANN ARBOR RD W
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City | PLYMOUTH
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State | MI
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Zip | 48170-3907
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Country | US
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Telephone | 734-414-9348
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Fax |
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Provider Business Mailing Address
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Address Line | 1183 TARTAN LN
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City | WALLED LAKE
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State | MI
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Zip | 48390-2285
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Country | US
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Telephone | 734-673-2744
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 5302044657
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 5302044657
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License Number State | MI
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