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NPI 1306123658

NPI 1306123658 : SWATHI ATLURI DDS : ARLINGTON, TX

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General NPI Number Information
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    NPI Number           |    1306123658
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    Entity Type          |    Individual 
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    Provider Name        |    SWATHI ATLURI DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/14/2011
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    Last Update Date     |    06/14/2023
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Provider Practice Location Address
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    Address Line         |    3970 N COLLINS STREET SUITE 174
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76005
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    Country              |    US
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    Telephone            |    682-808-4666
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    Fax                  |    682-808-6045
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Provider Business Mailing Address
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    Address Line         |    3970 N COLLINS STREET,SUITE 174 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76005
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    Country              |    US
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    Telephone            |    682-808-4666
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    Fax                  |    682-808-6045
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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       |    31548
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    31548
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DGD.7102 GD
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    License Number State |    SC
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