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General NPI Number Information
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NPI Number | 1356121131
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Entity Type | Individual
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Provider Name | DANIELLE RENEE SWEENEY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 3500 DEPAUW BLVD STE 2082
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-1137
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Country | US
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Telephone | 317-536-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 2091 BANBURRY PL
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City | AVON
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State | IN
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Zip | 46123-6511
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Country | US
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Telephone | 847-502-1577
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71014418A
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License Number State | IN
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