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General NPI Number Information
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NPI Number | 1629915582
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Entity Type | Organization
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Legal Business Name | SWEETWATER PEDIATRICS, LLC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 2518 DULUTH HWY STE 102
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City | DULUTH
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State | GA
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Zip | 30097-4200
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Country | US
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Telephone | 678-957-8283
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Fax | 678-957-8312
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Provider Business Mailing Address
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Address Line | 2518 DULUTH HWY STE 102
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City | DULUTH
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State | GA
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Zip | 30097-4200
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Country | US
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Telephone | 678-957-8283
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Fax | 678-957-8312
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | DR. JANET CHUYON JUNG
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Credential | MD
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Telephone | 678-957-8283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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