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General NPI Number Information
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NPI Number | 1578665576
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Entity Type | Individual
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Provider Name | SEAN MICHAEL MOHATT ATC
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1530 3RD AVE S BRTW 154
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City | BIRMINGHAM
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State | AL
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Zip | 35294-0002
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Country | US
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Telephone | 205-934-6013
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Fax |
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Provider Business Mailing Address
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Address Line | 6225 S 34TH ST APT # 247
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City | LINCOLN
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State | NE
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Zip | 68516-6610
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 902
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License Number State | AL
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