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General NPI Number Information
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NPI Number | 1881822500
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Entity Type | Individual
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Provider Name | MR. JAMES SWEET
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Gender | Male
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 2090 EVANS LN
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City | SAN JOSE
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State | CA
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Zip | 95125-2072
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Country | US
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Telephone | 530-793-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 249 N FREMONT ST
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City | MANTECA
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State | CA
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Zip | 95336-4708
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Country | US
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Telephone | 530-228-8520
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ASW 36500
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License Number State | CA
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