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General NPI Number Information
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NPI Number | 1538578299
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Entity Type | Individual
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Provider Name | JOCIE SWEENEY PHD
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Gender | Female
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 811 CENTRAL AVE STE 2
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City | CHARLOTTE
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State | NC
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Zip | 28204-2015
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Country | US
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Telephone | 980-236-0734
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Fax | 980-433-0083
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Provider Business Mailing Address
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Address Line | 811 CENTRAL AVE STE 2
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City | CHARLOTTE
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State | NC
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Zip | 28204-2015
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Country | US
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Telephone | 980-236-0734
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Fax | 980-433-0083
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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 | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | 4697
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4697
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License Number State | NC
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