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General NPI Number Information
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NPI Number | 1245497387
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Entity Type | Individual
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Provider Name | DANIELLE DIENERT SWEENEY MD
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Gender | Female
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 05/28/2019
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Provider Practice Location Address
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Address Line | 916 SPRINGDALE RD BLDG 5-102
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City | AUSTIN
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State | TX
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Zip | 78702
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Country | US
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Telephone | 512-461-6110
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Fax |
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Provider Business Mailing Address
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Address Line | 916 SPRINGDALE RD BLDG 5-102
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City | AUSTIN
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State | TX
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Zip | 78702-3748
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Country | US
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Telephone | 512-461-6110
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MD431431
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | N3337
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License Number State | TX
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