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NPI 1841325966

NPI 1841325966 : SEAN M DEES P.T. : ROSEVILLE, CA

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General NPI Number Information
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    NPI Number           |    1841325966
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    Entity Type          |    Individual 
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    Provider Name        |    SEAN M DEES P.T.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/21/2007
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    Last Update Date     |    12/19/2016
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Provider Practice Location Address
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    Address Line         |    1650 LEAD HILL BLVD STE 300 
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    City                 |    ROSEVILLE
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    State                |    CA
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    Zip                  |    95661-3072
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    Country              |    US
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    Telephone            |    916-932-1205
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2710 
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    City                 |    GRANITE BAY
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    State                |    CA
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    Zip                  |    95746-2710
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    Country              |    US
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    Telephone            |    916-932-1205
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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       |    30194
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    License Number State |    CA
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