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General NPI Number Information
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NPI Number | 1356986236
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Entity Type | Individual
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Provider Name | SEAN MCCANN LPC
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Gender | Male
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Dates
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Enumeration Date | 11/14/2019
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Last Update Date | 11/14/2019
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Provider Practice Location Address
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Address Line | 135 S 19TH ST # 350B
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City | PHILADELPHIA
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State | PA
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Zip | 19103-4912
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Country | US
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Telephone | 215-285-1084
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Fax |
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Provider Business Mailing Address
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Address Line | 2542 GRAYS FERRY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19146-2331
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Country | US
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Telephone | 215-688-0042
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC011709
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License Number State | PA
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