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General NPI Number Information
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NPI Number | 1881743680
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Entity Type | Individual
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Provider Name | PATRICK LAWRENCE SWEENEY D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 18501 E 8 MILE RD
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City | EASTPOINTE
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State | MI
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Zip | 48021-3200
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Country | US
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Telephone | 586-777-0260
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Fax | 586-777-5123
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Provider Business Mailing Address
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Address Line | 559 SUNNINGDALE DR
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City | GROSSE POINTE WOODS
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State | MI
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Zip | 48236-1667
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Country | US
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Telephone | 313-881-2262
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 12667
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License Number State | MI
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