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General NPI Number Information
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NPI Number | 1407116445
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Entity Type | Individual
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Provider Name | BRIDGET E. SWEENEY DDS
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Gender | Female
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Dates
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Enumeration Date | 05/24/2012
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 6043 TRANSIT RD STE 102
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City | EAST AMHERST
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State | NY
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Zip | 14051-1793
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Country | US
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Telephone | 716-221-0042
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Fax |
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Provider Business Mailing Address
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Address Line | 1360 NIAGARA ST APT 107
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City | BUFFALO
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State | NY
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Zip | 14213-1300
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Country | US
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Telephone | 315-404-4369
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 056697
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License Number State | NY
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