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General NPI Number Information
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NPI Number | 1518213263
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Entity Type | Individual
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Provider Name | SEAN GREGORY HASLAM M.D., FRCSC, FAAOS
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Gender | Male
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 4401 COIT ROAD STE 203
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 469-287-7179
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Fax | 972-596-9382
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Provider Business Mailing Address
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Address Line | 4401 COIT ROAD STE 203
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City | FRISCO
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State | TX
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Zip | 75035
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Country | US
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Telephone | 469-800-7070
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Fax | 469-800-7080
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | P0903
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License Number State | TX
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