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General NPI Number Information
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NPI Number | 1518146182
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Entity Type | Organization
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Legal Business Name | RICHARD SWATT, D.D.S., INC.
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 4955 VAN NUYS BLVD SUITE #722
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1801
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Country | US
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Telephone | 818-789-0567
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Fax | 818-789-0519
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Provider Business Mailing Address
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Address Line | 4955 VAN NUYS BLVD SUITE #722
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1801
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Country | US
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Telephone | 818-789-0567
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Fax | 818-789-0519
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. RICHARD H SWATT
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Credential | D.D.S.
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Telephone | 818-789-0567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 26234
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License Number State | CA
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