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NPI 1659288710

NPI 1659288710 : CHARLES THOMAS MCSWEENEY JR. NRP : BERLIN, NJ

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General NPI Number Information
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    NPI Number           |    1659288710
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    Entity Type          |    Individual 
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    Provider Name        |    CHARLES THOMAS MCSWEENEY JR. NRP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/25/2026
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    Last Update Date     |    08/25/2026
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Provider Practice Location Address
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    Address Line         |    20 E TAUNTON RD STE 500 
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    City                 |    BERLIN
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    State                |    NJ
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    Zip                  |    08009-2615
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    Country              |    US
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    Telephone            |    609-481-8742
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    Fax                  |    609-481-2270
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Provider Business Mailing Address
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    Address Line         |    205 ROOSEVELT DR 
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    City                 |    CHERRY HILL
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    State                |    NJ
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    Zip                  |    08002-1140
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    Country              |    US
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    Telephone            |    609-481-8742
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    Fax                  |    609-481-2270
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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        |    146L00000X
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    Taxonomy Name        |    Paramedic
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    License Number       |    537317
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    License Number State |    NJ
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