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NPI 1548473713

NPI 1548473713 : SEAN M JONES-QUAIDOO MD : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1548473713
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    Entity Type          |    Individual 
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    Provider Name        |    SEAN M JONES-QUAIDOO MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/07/2007
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    Last Update Date     |    04/18/2023
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Provider Practice Location Address
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    Address Line         |    8440 WALNUT HILL LN STE 230 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-3816
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    Country              |    US
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    Telephone            |    214-452-7705
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    Fax                  |    214-377-8831
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Provider Business Mailing Address
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    Address Line         |    8440 WALNUT HILL LN STE 230 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-3833
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    Country              |    US
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    Telephone            |    214-452-7705
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    Fax                  |    214-377-8831
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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        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    44065
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    0116017695
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    P3361
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    License Number State |    TX
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