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General NPI Number Information
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NPI Number | 1447562780
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Entity Type | Organization
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Legal Business Name | SUNCOAST PLASTIC SURGERY, PLLC
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 12/27/2010
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Provider Practice Location Address
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Address Line | 215 E EDGEWOOD DR
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-3820
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Country | US
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Telephone | 832-398-0112
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Fax | 832-201-0344
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Provider Business Mailing Address
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Address Line | 2521 SARATOGA DR
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City | LEAGUE CITY
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State | TX
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Zip | 77573-6327
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Country | US
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Telephone | 832-398-0112
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Fax | 832-201-0344
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Authorized Official
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Title or Position | PLASTIC SURGEON
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Name | DR. SWETANSHU CHAUDHARI
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Credential | M.D.
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Telephone | 832-385-9928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | N5616
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License Number State | TX
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