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General NPI Number Information
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NPI Number | 1316556897
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Entity Type | Organization
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Legal Business Name | BRIDGET E. SWEENEY, DDS, PLLC
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 6043 TRANSIT ROAD SUITE 102
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City | CLARENCE
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State | NY
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Zip | 14031
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Country | US
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Telephone | 315-404-4369
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Fax |
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Provider Business Mailing Address
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Address Line | 1360 NIAGARA ST APT 107
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City | BUFFALO
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State | NY
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Zip | 14213-1300
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Country | US
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Telephone | 315-404-4369
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DR. BRIDGET E SWEENEY
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Credential | DDS
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Telephone | 315-404-4369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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