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General NPI Number Information
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NPI Number | 1053267252
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Entity Type | Individual
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Provider Name | GWENDOLYN FAHEY SWEENEY
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Gender | Female
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 620 S IL ROUTE 31 STE 1
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City | MCHENRY
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State | IL
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Zip | 60050-3134
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Country | US
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Telephone | 224-458-4708
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Fax |
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Provider Business Mailing Address
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Address Line | 226 WINSOR ST
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City | ELKHORN
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State | WI
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Zip | 53121-1647
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7265-154
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License Number State | WI
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