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General NPI Number Information
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NPI Number | 1932705613
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Entity Type | Organization
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Legal Business Name | BREAST CENTER OF NAPLES PLLC
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 3555 KRAFT RD STE 350
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City | NAPLES
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State | FL
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Zip | 34105-5037
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Country | US
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Telephone | 239-238-1210
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Fax |
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Provider Business Mailing Address
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Address Line | 3555 KRAFT RD STE 350
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City | NAPLES
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State | FL
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Zip | 34105-5037
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRYSTAL SWARTS SMITH
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Credential | DO
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Telephone | 601-466-4930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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