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General NPI Number Information
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NPI Number | 1619014610
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Entity Type | Individual
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Provider Name | JENNIFER MARION SWEET D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 10/08/2013
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Provider Practice Location Address
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Address Line | 100 N US HIGHWAY 89 SUITE A
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City | CHINO VALLEY
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State | AZ
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Zip | 86323-5980
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Country | US
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Telephone | 928-636-7533
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N US HIGHWAY 89 SUITE A
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City | CHINO VALLEY
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State | AZ
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Zip | 86323-5980
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7614
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License Number State | AZ
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