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General NPI Number Information
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NPI Number | 1437152998
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Entity Type | Individual
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Provider Name | SWATI R. GANDHI MD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 1640 NEWPORT BLVD
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City | COSTA MESA
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State | CA
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Zip | 92627-3786
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Country | US
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Telephone | 949-515-7337
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Fax | 949-515-7338
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Provider Business Mailing Address
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Address Line | 1640 NEWPORT BLVD STE 320
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City | COSTA MESA
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State | CA
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Zip | 92627-7730
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Country | US
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Telephone | 949-515-7337
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Fax | 949-515-7338
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C53857
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License Number State | CA
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