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NPI 1699778225

NPI 1699778225 : ARIV SWAMINATHAN M.D. : GLENDALE, AZ

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General NPI Number Information
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    NPI Number           |    1699778225
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    Entity Type          |    Individual 
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    Provider Name        |    ARIV SWAMINATHAN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/27/2005
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    Last Update Date     |    02/21/2019
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Provider Practice Location Address
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    Address Line         |    5750 W THUNDERBIRD RD STE F680 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85306-4693
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    Country              |    US
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    Telephone            |    602-843-7171
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    Fax                  |    602-843-5909
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Provider Business Mailing Address
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    Address Line         |    3333 E CAMELBACK RD STE 180
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85018-2322
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    Country              |    US
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    Telephone            |    602-997-0484
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    Fax                  |    602-224-3315
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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        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    21976
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    License Number State |    AZ
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