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General NPI Number Information
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NPI Number | 1194352054
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Entity Type | Individual
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Provider Name | SEAN MICHAEL MCDERMOTT MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 3700 KOLBE RD
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City | LORAIN
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State | OH
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Zip | 44053-1611
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Country | US
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Telephone | 440-960-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 KOLBE RD STE 209
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City | LORAIN
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State | OH
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Zip | 44053-1652
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Country | US
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Telephone | 440-282-7600
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Fax | 440-282-7811
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 35.154178
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License Number State | OH
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