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General NPI Number Information
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NPI Number | 1366829004
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Entity Type | Individual
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Provider Name | SEAN PATRICK FERRELL MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2015
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | MEDDAC-B
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City | APO
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State | AE
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Zip | 09114-0057
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Country | US
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Telephone | 314-590-3004
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N 1900 E RM 1C412
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City | SALT LAKE CITY
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State | UT
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Zip | 84132-3277
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Country | US
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Telephone | 801-581-2401
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 10100332-1205
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License Number State | UT
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