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General NPI Number Information
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NPI Number | 1871524645
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Entity Type | Individual
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Provider Name | SEAN A MCCANTS DPM
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 5656 CHEW AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19138-1742
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Country | US
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Telephone | 215-991-9211
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Fax | 215-991-9321
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Provider Business Mailing Address
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Address Line | 1217 SNYDER AVE # 1
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City | PHILADELPHIA
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State | PA
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Zip | 19148-5512
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Country | US
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Telephone | 215-465-5342
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Fax | 800-537-1174
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SCOO5626
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License Number State | PA
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