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General NPI Number Information
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NPI Number | 1841873890
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Entity Type | Individual
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Provider Name | SEAN M LIVINGSTON MD
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Gender | Male
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 7900 FM 1826 STE 202
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City | AUSTIN
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State | TX
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Zip | 78737-1412
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Country | US
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Telephone | 512-288-9669
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Fax | 512-498-0321
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Provider Business Mailing Address
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Address Line | 6034 W COURTYARD DR STE 110
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City | AUSTIN
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State | TX
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Zip | 78730-5064
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Country | US
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Telephone | 512-838-3828
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Fax | 254-306-4676
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | V0027
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License Number State | TX
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