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General NPI Number Information
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NPI Number | 1407046402
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Entity Type | Individual
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Provider Name | ARAVIND SWAMINATHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 710 LAWRENCE EXPRESSWAY THE PERMANENTE MEDICAL GROUP
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City | SANTA CLARA
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State | CA
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Zip | 95051
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Country | US
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Telephone | 408-851-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 925 WAVERLEY ST APT. 206
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City | PALO ALTO
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State | CA
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Zip | 94301-2701
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Country | US
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Telephone | 267-257-3258
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A95939
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License Number State | CA
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