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General NPI Number Information
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NPI Number | 1396750469
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Entity Type | Individual
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Provider Name | JACQUELINE G SWEETON RN, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 3950 N A W GRIMES BLVD STE N103
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City | ROUND ROCK
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State | TX
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Zip | 78665-3540
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Country | US
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Telephone | 877-800-5722
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Fax |
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Provider Business Mailing Address
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Address Line | 205 E UNIVERSITY AVE STE 200
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City | GEORGETOWN
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State | TX
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Zip | 78626-6821
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Country | US
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Telephone | 512-994-1933
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 621429
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | AP110788
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License Number State | TX
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