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General NPI Number Information
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NPI Number | 1972377398
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Entity Type | Individual
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Provider Name | CLAIRE SVATOS
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Gender | Female
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 1800 WESTERN AVE STE 204
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City | SAN BERNARDINO
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State | CA
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Zip | 92411-1353
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Country | US
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Telephone | 909-474-9952
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Fax |
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Provider Business Mailing Address
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Address Line | 7922 DAY CREEK BLVD APT 1304
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-8587
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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 |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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