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General NPI Number Information
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NPI Number | 1235383076
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Entity Type | Organization
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Legal Business Name | DR. WILLIAM J MCSWEENEY
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Dates
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Enumeration Date | 11/06/2008
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 70 TURNER AVENUE
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City | ELK GROVE
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State | IL
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Zip | 60007
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Country | US
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Telephone | 847-437-3250
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Fax |
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Provider Business Mailing Address
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Address Line | 70 TURNER AVE
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3955
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Country | US
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Telephone | 847-437-3250
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Fax | 847-437-3251
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. WILLIAM J. MCSWEENEY JR.
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Credential | DDS
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Telephone | 847-437-3250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19A14109
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License Number State | IL
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