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General NPI Number Information
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NPI Number | 1679852297
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Entity Type | Individual
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Provider Name | VINCENT SWEENEY
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Gender | Male
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 12/19/2013
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Provider Practice Location Address
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Address Line | 5870 WEBSTER RD
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City | SUMMERSVILLE
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State | WV
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Zip | 26651-9105
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Country | US
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Telephone | 304-872-4394
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Fax | 304-872-5783
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Provider Business Mailing Address
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Address Line | 5870 WEBSTER RD
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City | SUMMERSVILLE
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State | WV
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Zip | 26651-9105
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Country | US
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Telephone | 304-872-4394
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Fax | 304-872-5783
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0007695
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22022
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202210856
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License Number State | VA
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