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General NPI Number Information
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NPI Number | 1487900080
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Entity Type | Organization
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Legal Business Name | SWIATOWICZ DENTAL ASSOCIATES, P.A.
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 1211 MILLTOWN RD
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City | WILMINGTON
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State | DE
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Zip | 19808-3003
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Country | US
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Telephone | 302-239-8230
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Fax | 302-476-8188
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Provider Business Mailing Address
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Address Line | 1211 MILLTOWN RD
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City | WILMINGTON
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State | DE
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Zip | 19808-3003
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Country | US
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Telephone | 302-239-8230
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Fax | 302-476-8187
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ANDREW SWIATOWICZ JR.
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Credential | DDS
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Telephone | 302-239-8230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | G1-0000915
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License Number State | DE
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