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General NPI Number Information
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NPI Number | 1144890716
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Entity Type | Individual
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Provider Name | JOHN SWARTOUT DDS
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Gender | Male
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 01/17/2022
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Provider Practice Location Address
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Address Line | 23855 CINCO RANCH BLVD STE 240
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City | KATY
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State | TX
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Zip | 77494-3172
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Country | US
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Telephone | 281-391-4422
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Fax |
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Provider Business Mailing Address
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Address Line | 4906 STACKSTONE LN
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City | KATY
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State | TX
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Zip | 77450-6730
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Country | US
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Telephone | 281-638-3190
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 37318
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License Number State | TX
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