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General NPI Number Information
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NPI Number | 1538560453
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Entity Type | Individual
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Provider Name | SEAN NEARY D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 1030 OLD DES PERES RD
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City | DES PERES
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State | MO
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Zip | 63131-1865
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Country | US
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Telephone | 314-966-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 OLD DES PERES RD
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City | DES PERES
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State | MO
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Zip | 63131-1865
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Country | US
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Telephone | 314-966-8989
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4492
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2014032192
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 2023028078
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License Number State | MO
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