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General NPI Number Information
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NPI Number | 1427031186
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Entity Type | Individual
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Provider Name | SEAN R. HURNEY ATC, CMT
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Gender | Male
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Dates
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Enumeration Date | 11/26/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8804 POSTOAK RD
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City | POTOMAC
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State | MD
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Zip | 20854-3553
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Country | US
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Telephone | 301-983-5200
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Fax | 310-983-4710
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Provider Business Mailing Address
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Address Line | 20905 LAYTON RIDGE DR
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City | LAYTONSVILLE
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State | MD
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Zip | 20882-4319
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Country | US
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Telephone | 240-475-8702
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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