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General NPI Number Information
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NPI Number | 1295335438
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Entity Type | Individual
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Provider Name | SWATI M PATEL
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Gender | Female
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 406 E 22ND ST
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City | STUTTGART
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State | AR
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Zip | 72160-9006
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Country | US
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Telephone | 870-673-1834
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 GAP CREEK DR
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City | SHERWOOD
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State | AR
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Zip | 72120-4334
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Country | US
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Telephone | 870-250-0678
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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 | PD11273
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License Number State | AR
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