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General NPI Number Information
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NPI Number | 1942522321
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Entity Type | Individual
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Provider Name | MR. SEAN ALLEN DOAK
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Gender | Male
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 3320 SUNRISE AVE 104
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City | LAS VEGAS
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State | NV
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Zip | 89101-4864
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Country | US
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Telephone | 702-457-7617
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Fax | 702-457-7842
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Provider Business Mailing Address
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Address Line | 3395 S JONES BLVD 412
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City | LAS VEGAS
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State | NV
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Zip | 89146-6729
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Country | US
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Telephone | 775-720-5110
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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