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General NPI Number Information
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NPI Number | 1083064539
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Entity Type | Individual
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Provider Name | RACHAEL L SWEENEY NP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 801 W GORDON ST
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City | THOMASTON
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State | GA
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Zip | 30286-3426
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Country | US
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Telephone | 706-647-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 72 MUSTANG TRL
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City | WAVERLY HALL
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State | GA
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Zip | 31831-2399
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Country | US
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Telephone | 801-842-3776
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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 | 163WF0300X
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Taxonomy Name | Flight Registered Nurse
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License Number | RN199221
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN199221
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN199221
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN199221
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License Number State | GA
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