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General NPI Number Information
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NPI Number | 1235326430
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Entity Type | Individual
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Provider Name | LAURENE ANN SWEET PT, DPT, MED
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Gender | Female
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 07/08/2023
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Provider Practice Location Address
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Address Line | 36495 VINE ST STE L
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City | WILLOUGHBY
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State | OH
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Zip | 44094-6347
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Country | US
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Telephone | 440-525-2792
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Fax | 866-560-2975
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Provider Business Mailing Address
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Address Line | 135 E 280TH ST
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City | EUCLID
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State | OH
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Zip | 44132-1306
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Country | US
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Telephone | 216-571-6234
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-06498
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT-6498
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License Number State | OH
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