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General NPI Number Information
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NPI Number | 1396691309
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Entity Type | Organization
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Legal Business Name | SEAN A. MOORE, MS, PLLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 6425 NW CACHE RD STE 217
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City | LAWTON
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State | OK
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Zip | 73505-3393
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Country | US
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Telephone | 803-447-8938
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Fax |
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Provider Business Mailing Address
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Address Line | 7 NW HEATHERSTONE DR
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City | LAWTON
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State | OK
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Zip | 73505-9535
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Country | US
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Telephone | 803-447-8938
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | SEAN MOORE
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Credential | MS, LMFT
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Telephone | 803-447-8938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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