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General NPI Number Information
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NPI Number | 1306029350
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Entity Type | Organization
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Legal Business Name | BRYAN J. MCSWEENY JR., DMD, PC
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 154 FRONT STREET
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City | MARION
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State | MA
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Zip | 02738
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Country | US
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Telephone | 508-748-1380
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Fax | 508-748-1380
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Provider Business Mailing Address
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Address Line | PO BOX 982
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City | MARION
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State | MA
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Zip | 02738-0018
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Country | US
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Telephone | 508-748-1380
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Fax | 508-748-1380
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRYAN J MCSWEENY JR.
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Credential | D.M.D.
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Telephone | 508-748-1380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | MA11800
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License Number State | MA
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