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General NPI Number Information
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NPI Number | 1225357817
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Entity Type | Individual
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Provider Name | SEAN CARPENTER PT
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Gender | Male
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Dates
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Enumeration Date | 05/23/2010
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 801 EASTON RD STE 6
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City | WILLOW GROVE
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State | PA
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Zip | 19090-2024
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Country | US
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Telephone | 215-867-9677
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Fax | 215-839-3439
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Provider Business Mailing Address
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Address Line | 1721 KIRKS LN
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City | DRESHER
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State | PA
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Zip | 19025-1107
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Country | US
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Telephone | 215-867-9677
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Fax | 215-839-3439
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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 | PT019519
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License Number State | PA
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