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General NPI Number Information
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NPI Number | 1780839217
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Entity Type | Individual
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Provider Name | SEAN PATRICK BREEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 8502 E CHAPMAN AVE #636
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City | ORANCE
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State | CA
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Zip | 92869-2461
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Country | US
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Telephone | 760-500-7615
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Fax |
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Provider Business Mailing Address
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Address Line | 8502 E CHAPMAN AVE # 636
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City | ORANGE
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State | CA
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Zip | 92869-2461
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Country | US
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Telephone | 760-500-7615
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 20A8273
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License Number State | CA
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