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General NPI Number Information
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NPI Number | 1831574912
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Entity Type | Individual
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Provider Name | SEAN A REGAN P.T.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 08/21/2015
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Provider Practice Location Address
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Address Line | 108 S MAIN ST
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City | RICHLANDTOWN
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State | PA
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Zip | 18955-1048
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Country | US
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Telephone | 267-371-4573
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Fax |
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Provider Business Mailing Address
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Address Line | 108 SOUTH MAIN STREET
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City | RICHLANDTOWN
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State | PA
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Zip | 18955
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Country | US
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Telephone | 267-371-4573
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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 | PT016361
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | PT016361
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License Number State | PA
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