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NPI Code Detail

MEDICARE: MR. JAMES SWEET

MEDICARE: MR. JAMES SWEET
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
21041C0700XClinical Social WorkerASW 36500CA

General Provider Information

NPI Number : 1881822500
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES SWEET
Provider Business Mailing Address
First Line : 249 N FREMONT ST
Second Line :
City : MANTECA
State : CA
Zip : 95336-4708
Country : US
Telephone Number : 530-228-8520
Fax Number :
Provider Business Practice Location Address
First Line : 2090 EVANS LN
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-2072
Country : US
Telephone Number : 530-793-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2009
Last Update Date : 08/12/2014

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