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General NPI Number Information
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NPI Number | 1023794245
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Entity Type | Individual
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Provider Name | NATHANIEL SVETER
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Gender | Male
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 801 N FILLMORE ST
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City | AMARILLO
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State | TX
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Zip | 79107-3763
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Country | US
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Telephone | 806-371-8116
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 S COULTER ST APT 724
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City | AMARILLO
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State | TX
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Zip | 79109-5063
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 71524
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License Number State | TX
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