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General NPI Number Information
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NPI Number | 1255330445
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Entity Type | Individual
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Provider Name | WILLIAM H SWEATT M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 219 OAK DR S STE A
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City | LAKE JACKSON
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State | TX
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Zip | 77566-5675
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Country | US
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Telephone | 979-297-4033
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Fax |
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Provider Business Mailing Address
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Address Line | 219 OAK DR S
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City | LAKE JACKSON
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State | TX
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Zip | 77566-5675
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Country | US
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Telephone | 979-297-4033
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | K1308
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License Number State | TX
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