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General NPI Number Information
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NPI Number | 1558173393
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Entity Type | Individual
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Provider Name | SEAN CONNOR PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 10590 TOWN CENTER DR STE 100
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0361
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Country | US
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Telephone | 909-948-1124
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Fax |
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Provider Business Mailing Address
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Address Line | 544 SCOTTSBLUFF DR
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City | CLAREMONT
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State | CA
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Zip | 91711-2986
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Country | US
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Telephone | 909-239-9796
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 307337
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License Number State | CA
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