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NPI 1255467510

NPI 1255467510 : SHARON ANN SWEENEY PT : LEWISBURG, TN

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General NPI Number Information
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    NPI Number           |    1255467510
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    Entity Type          |    Individual 
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    Provider Name        |    SHARON ANN SWEENEY PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/23/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1653 MOORESVILLE HWY NHC LEWISBURG
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    City                 |    LEWISBURG
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    State                |    TN
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    Zip                  |    37091
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    Country              |    US
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    Telephone            |    931-359-4506
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    Fax                  |    931-359-8139
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Provider Business Mailing Address
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    Address Line         |    4946 WILLOWBEND DR 
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    City                 |    MURFREESBORO
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    State                |    TN
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    Zip                  |    37128
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    Country              |    US
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    Telephone            |    615-907-4722
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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       |    4879
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    License Number State |    TN
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