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General NPI Number Information
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NPI Number | 1750782447
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Entity Type | Individual
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Provider Name | SEAN RAY MCANARNEY DDS
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Gender | Male
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 11/13/2019
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Provider Practice Location Address
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Address Line | 2320 S 31ST ST STE 120
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City | TEMPLE
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State | TX
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Zip | 76504-2429
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Country | US
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Telephone | 254-831-9298
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Fax |
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Provider Business Mailing Address
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Address Line | 2045 BELLA VITA DR
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City | NOLANVILLE
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State | TX
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Zip | 76559-4592
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Country | US
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Telephone | 816-877-2637
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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 | 33735
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License Number State | TX
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