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General NPI Number Information
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NPI Number | 1679384085
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Entity Type | Individual
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Provider Name | ERIC CHARLES SWEET
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Gender | Male
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 2127 UNIVERSITY PARK DR STE 300
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City | OKEMOS
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State | MI
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Zip | 48864-5928
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Country | US
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Telephone | 517-200-3316
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Fax |
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Provider Business Mailing Address
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Address Line | 5289 BEAR LAKE DR
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City | EAST LANSING
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State | MI
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Zip | 48823-7213
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Country | US
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Telephone | 248-875-6441
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6451013456
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License Number State | MI
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