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General NPI Number Information
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NPI Number | 1720572498
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Entity Type | Individual
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Provider Name | EMILY SWANSON DMD
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Gender | Female
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 08/03/2025
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Provider Practice Location Address
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Address Line | 1201 PEACHTREE ST NE STE 1515
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City | ATLANTA
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State | GA
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Zip | 30361-3514
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Country | US
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Telephone | 404-892-3545
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Fax | 404-875-0349
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Provider Business Mailing Address
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Address Line | 61 QUEEN ANNE DR SE
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City | MABLETON
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State | GA
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Zip | 30126-1428
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Country | US
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Telephone | 770-401-6485
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 122492
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License Number State | GA
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