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General NPI Number Information
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NPI Number | 1760489397
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Entity Type | Individual
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Provider Name | SEAN M SHEA MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 5200 NE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33137-2706
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Country | US
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Telephone | 727-300-0063
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Fax | 727-954-6546
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Provider Business Mailing Address
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Address Line | 1053 NE 95TH ST
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2547
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Country | US
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Telephone | 272-300-0063
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Fax | 727-954-6546
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME21554
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License Number State | FL
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