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General NPI Number Information
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NPI Number | 1811012081
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Entity Type | Individual
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Provider Name | SEAN M ROONEY DDS
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 17 MILLER RD
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City | MAHOPAC
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State | NY
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Zip | 10541-2219
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Country | US
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Telephone | 845-621-1222
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Fax | 845-621-5479
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Provider Business Mailing Address
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Address Line | 17 MILLER RD
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City | MAHOPAC
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State | NY
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Zip | 10541-2219
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Country | US
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Telephone | 845-621-1222
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Fax | 845-621-5479
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 049067
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License Number State | NY
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