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General NPI Number Information
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NPI Number | 1316968852
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Entity Type | Individual
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Provider Name | EDWARD DREW SWEETEN JR. RN,RT,NHA,MD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6521 ELTON AVE
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City | LAS VEGAS
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State | NV
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Zip | 89107-2413
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Country | US
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Telephone | 702-630-5470
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Fax | 702-870-5623
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Provider Business Mailing Address
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Address Line | 6521 ELTON AVE
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City | LAS VEGAS
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State | NV
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Zip | 89107-2413
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Country | US
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Telephone | 702-630-5470
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Fax | 702-870-5623
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 16526
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-064931
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | RHF 12519
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | CRT-3294
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number | 174
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License Number State | NV
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Taxonomy #6
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Taxonomy Code | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number | 384
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License Number State | NM
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Taxonomy #7
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Taxonomy Code | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number | 662
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License Number State | AZ
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