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General NPI Number Information
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NPI Number | 1366998437
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Entity Type | Individual
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Provider Name | SEAN MICHAEL SCHOONOVER P.A.-C
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Gender | Male
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 1333 W 5TH ST STE 113
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City | SHERIDAN
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State | WY
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Zip | 82801-2752
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Country | US
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Telephone | 307-675-2633
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Fax | 307-675-2634
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Provider Business Mailing Address
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Address Line | 905 ARLINGTON BLVD
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City | SHERIDAN
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State | WY
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Zip | 82801-2942
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Country | US
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Telephone | 307-899-5569
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 6459
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA720
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License Number State | WY
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