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General NPI Number Information
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NPI Number | 1578593232
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Entity Type | Individual
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Provider Name | SEAN M TIERNEY DO
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 6451 N FEDERAL HWY STE 800
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-1409
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Country | US
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Telephone | 866-906-1637
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Fax |
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Provider Business Mailing Address
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Address Line | 6451 N FEDERAL HWY STE 800
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-1409
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Country | US
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Telephone | 866-906-1637
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS9271
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DOS933
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 20A10991
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DO2052
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License Number State | NV
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