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General NPI Number Information
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NPI Number | 1396904306
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Entity Type | Individual
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Provider Name | SCOTT PATRICK SWEENEY DDS
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Gender | Male
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 79 BEACH RD
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City | VINEYARD HAVEN
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State | MA
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Zip | 02568
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Country | US
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Telephone | 321-693-9530
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Fax |
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Provider Business Mailing Address
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Address Line | 539 STATE RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-5110
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Country | US
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Telephone | 321-693-9530
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1855151
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License Number State | MA
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