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General NPI Number Information
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NPI Number | 1689755514
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Entity Type | Individual
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Provider Name | LORI A SWEENEY PH.D, ATC
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 5600 CITY AVE SPORTS MEDICINE
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City | PHILADELPHIA
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State | PA
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Zip | 19131-1308
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Country | US
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Telephone | 610-660-1699
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Fax | 610-660-2577
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Provider Business Mailing Address
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Address Line | 167 WOODBINE RD
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City | HAVERTOWN
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State | PA
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Zip | 19083-3524
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Country | US
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Telephone | 610-637-8583
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Fax | 610-660-2577
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT001380A
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License Number State | PA
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