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NPI 1912365354

NPI 1912365354 : SWATI PATEL DDS : BATON ROUGE, LA

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General NPI Number Information
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    NPI Number           |    1912365354
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    Entity Type          |    Individual 
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    Provider Name        |    SWATI PATEL DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/31/2016
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    Last Update Date     |    03/28/2018
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Provider Practice Location Address
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    Address Line         |    411 BEN HUR RD STE G 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70820-5216
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    Country              |    US
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    Telephone            |    225-960-6447
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    Fax                  |    225-960-6457
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Provider Business Mailing Address
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    Address Line         |    2909 GRAND WAY AVE 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70810-0440
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    Country              |    US
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    Telephone            |    318-773-7990
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    6613
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    License Number State |    LA
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