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General NPI Number Information
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NPI Number | 1194527184
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Entity Type | Organization
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Legal Business Name | SEAL BEACH MD BILLING LLC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1198 PACIFIC COAST HWY SUITE D # 519
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City | SEAL BEACH
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State | CA
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Zip | 90740-6200
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Country | US
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Telephone | 714-759-2405
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Fax |
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Provider Business Mailing Address
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Address Line | 1198 PACIFIC COAST HWY SUITE D # 519
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City | SEAL BEACH
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State | CA
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Zip | 90740-6200
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Country | US
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Telephone | 714-759-2405
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL SWEENEY
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Credential |
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Telephone | 714-759-2405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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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 | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number |
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License Number State |
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