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General NPI Number Information
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NPI Number | 1336760354
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Entity Type | Individual
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Provider Name | SEAN P COREY APN
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Gender | Male
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Dates
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Enumeration Date | 04/30/2020
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 2401 E EVESHAM RD
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City | VOORHEES
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State | NJ
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Zip | 08043-9590
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Country | US
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Telephone | 856-817-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 848-288-6935
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ01025500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ01025500
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License Number State | NJ
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