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General NPI Number Information
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NPI Number | 1346573565
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Entity Type | Individual
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Provider Name | SEAN MICHAEL RANSOM PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 4904 MAGAZINE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-1735
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Country | US
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Telephone | 504-383-3815
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Fax | 855-502-8887
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Provider Business Mailing Address
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Address Line | 4904 MAGAZINE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-1735
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Country | US
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Telephone | 504-383-3815
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Fax | 855-502-8887
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY1096
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSYC.PY.61406683
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | MP.0024
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1109
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License Number State | LA
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