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General NPI Number Information
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NPI Number | 1154199586
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Entity Type | Individual
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Provider Name | SEAN TIMOTHY HARPER PT
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Gender | Male
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Dates
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Enumeration Date | 12/14/2023
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 12449 HIGHWAY 49
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City | GULFPORT
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State | MS
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Zip | 39503-2983
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Country | US
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Telephone | 228-872-6836
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Fax |
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Provider Business Mailing Address
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Address Line | 4751 ALSUP MILL RD
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City | LASCASSAS
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State | TN
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Zip | 37085-1509
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Country | US
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Telephone | 931-581-9864
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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