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General NPI Number Information
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NPI Number | 1780724658
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Entity Type | Organization
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Legal Business Name | SWAMI NATHAN MD INC
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 198 THOMAS JOHNSON DR SUITE 207
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City | FREDERICK
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State | MD
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Zip | 21702-4398
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Country | US
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Telephone | 301-694-5344
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Fax | 301-694-5125
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Provider Business Mailing Address
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Address Line | 198 THOMAS JOHNSON DR SUITE 207
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City | FREDERICK
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State | MD
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Zip | 21702-4398
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Country | US
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Telephone | 301-694-5344
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Fax | 301-694-5125
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SWAMI NATHAN
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Credential | M.D.
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Telephone | 301-694-5344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D18414
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License Number State | MD
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