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General NPI Number Information
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NPI Number | 1669715116
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Entity Type | Individual
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Provider Name | SEAN RYAN MURNEY
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Gender | Male
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 261 MEDICAL PARK BLVD
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City | PETERSBURG
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State | VA
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Zip | 23805-9337
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Country | US
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Telephone | 804-835-9748
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Fax |
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Provider Business Mailing Address
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Address Line | 6601 TEMIE LEE PKWY
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-2061
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Country | US
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Telephone | 315-729-1828
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34011732
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 0116030264
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License Number State | VA
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