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General NPI Number Information
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NPI Number | 1417602541
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Entity Type | Individual
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Provider Name | ALIFAIRE SWEENEY
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Gender | Female
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 108 W MADISON ST STE B
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City | LOUISA
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State | KY
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Zip | 41230-1327
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Country | US
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Telephone | 606-826-0341
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 390
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City | HUNTINGTON
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State | WV
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Zip | 25708-0390
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Country | US
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Telephone | 304-429-1088
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 289118
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License Number State |
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