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General NPI Number Information
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NPI Number | 1336606557
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Entity Type | Individual
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Provider Name | MOLLY ANN SWEENEY MS, RDN, LDN, CDE
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Gender | Female
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Dates
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Enumeration Date | 02/24/2019
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Last Update Date | 02/24/2019
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Provider Practice Location Address
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Address Line | 50 MOISEY DR
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City | HAZLE TOWNSHIP
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State | PA
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Zip | 18202-9297
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Country | US
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Telephone | 570-501-6206
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Fax |
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Provider Business Mailing Address
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Address Line | 50 MOISEY DR
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City | HAZLE TOWNSHIP
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State | PA
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Zip | 18202-9297
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Country | US
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Telephone |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN005128
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License Number State | PA
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