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General NPI Number Information
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NPI Number | 1740281724
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Entity Type | Individual
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Provider Name | SEAN CHRISTOPHER MEEHAN D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 240 S 40TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-6030
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Country | US
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Telephone | 215-746-7982
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Fax |
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Provider Business Mailing Address
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Address Line | 240 S 40TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-6030
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Country | US
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Telephone | 215-746-7982
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12911
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 125Q00000X
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Taxonomy Name | Oral Medicine Dentistry
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License Number | DS-028464-L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS-028464-L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3019-97
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License Number State | MS
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