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General NPI Number Information
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NPI Number | 1548516115
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Entity Type | Organization
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Legal Business Name | MICHAEL L. SWEENEY,MSW,P.C.
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 18555 N 79TH AVE SUITE B-103
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City | GLENDALE
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State | AZ
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Zip | 85308-8370
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Country | US
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Telephone | 623-334-9700
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Fax | 623-334-9728
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Provider Business Mailing Address
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Address Line | 18555 N 79TH AVE SUITE B-103
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City | GLENDALE
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State | AZ
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Zip | 85308-8370
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Country | US
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Telephone | 623-334-9700
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Fax | 623-334-9728
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. MICHAEL L SWEENEY
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Credential | MSW
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Telephone | 623-334-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW0487
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License Number State | AZ
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