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General NPI Number Information
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NPI Number | 1770075301
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Entity Type | Individual
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Provider Name | SEAN MCGUIRE DPT
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Gender | Male
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 100 WALLACE AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2641
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Country | US
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Telephone | 484-224-5600
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Fax | 484-652-2055
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Provider Business Mailing Address
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Address Line | 1311 MAMARONECK AVE STE 140
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City | WHITE PLAINS
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State | NY
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Zip | 10605-5224
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Country | US
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Telephone | 914-294-4050
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT027832
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT027832
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License Number State | PA
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