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General NPI Number Information
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NPI Number | 1932485984
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Entity Type | Organization
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Legal Business Name | DR. SEAN RODEN DC, PLLC
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Dates
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Enumeration Date | 10/21/2011
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 2685 HARRISON ST
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City | BEAUMONT
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State | TX
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Zip | 77702-1201
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Country | US
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Telephone | 409-242-6442
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Fax | 855-669-9969
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Provider Business Mailing Address
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Address Line | 2685 HARRISON ST
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City | BEAUMONT
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State | TX
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Zip | 77702-1201
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Country | US
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Telephone | 409-242-6442
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Fax | 855-669-9969
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | SEAN MICHAEL RODEN
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Credential | D.C.
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Telephone | 281-608-5330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 11356
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License Number State | TX
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