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General NPI Number Information
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NPI Number | 1164592853
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Entity Type | Individual
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Provider Name | PATRICIA SWEENEY CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 1208 O'NEIL HIGHWAY
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City | DUNMORE
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State | PA
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Zip | 18512
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Country | US
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Telephone | 570-207-2612
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Fax |
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Provider Business Mailing Address
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Address Line | 6 DAVID TER
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City | SCRANTON
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State | PA
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Zip | 18505-2721
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Country | US
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Telephone | 570-347-2873
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP001249B
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License Number State | PA
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