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General NPI Number Information
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NPI Number | 1902512098
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Entity Type | Individual
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Provider Name | LIANE SCARLETT SWEENEY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 2315 BEL AIR RD STE C1
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City | FALLSTON
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State | MD
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Zip | 21047-2741
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Country | US
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Telephone | 443-966-3900
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Fax | 443-966-3901
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Provider Business Mailing Address
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Address Line | 13 SINGER RD
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City | ABINGDON
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State | MD
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Zip | 21009-1617
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Country | US
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Telephone | 443-977-0859
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R222821
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License Number State | MD
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