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General NPI Number Information
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NPI Number | 1821352949
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Entity Type | Organization
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Legal Business Name | SYLVIA SWEATT FAMILY PRACTICE,LLC
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Dates
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Enumeration Date | 07/03/2012
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 2707 BRECKENRIDGE ST SUITE 2
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City | OWENSBORO
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State | KY
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Zip | 42303-1385
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Country | US
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Telephone | 270-302-6051
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Fax | 270-683-1848
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Provider Business Mailing Address
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Address Line | 2707 BRECKENRIDGE ST SUITE 2
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City | OWENSBORO
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State | KY
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Zip | 42303-1385
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Country | US
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Telephone | 270-302-6051
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Fax |
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Authorized Official
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Title or Position | ADVANCED REGISTERED NURSE PRACTICIO
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Name | MRS. SYLVIA L SWEATT
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Credential | APRN
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Telephone | 270-302-6051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 3003593
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License Number State | KY
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