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General NPI Number Information
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NPI Number | 1295245538
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Entity Type | Individual
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Provider Name | SWAGAT K PATEL DMD
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Gender | Male
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Dates
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Enumeration Date | 09/30/2017
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Last Update Date | 11/12/2018
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Provider Practice Location Address
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Address Line | 158 WOOD ST
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City | LOWELL
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State | MA
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Zip | 01851-2107
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Country | US
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Telephone | 978-677-2114
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FAY MEMORIAL DR
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City | TYNGSBORO
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State | MA
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Zip | 01879-2303
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Country | US
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Telephone | 978-413-2123
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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 | DN1857778
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License Number State | MA
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