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General NPI Number Information
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NPI Number | 1861929036
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Entity Type | Individual
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Provider Name | MARIE ELIZABETH SWEAT MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2017
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 8001 FROST ST
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City | SAN DIEGO
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State | CA
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Zip | 92123-2746
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Country | US
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Telephone | 858-966-5819
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 CHILDRENS WAY # MC5003
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City | SAN DIEGO
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State | CA
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Zip | 92123-4223
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Country | US
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Telephone | 858-309-6300
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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 | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | A160269
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | A160269
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License Number State | CA
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