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General NPI Number Information
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NPI Number | 1952581019
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Entity Type | Individual
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Provider Name | SEAN CHRISTOPHER MCCARTHY M.D
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Gender | Male
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 3107 BRASSFIELD RD STE 300
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City | GREENSBORO
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State | NC
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Zip | 27410-2074
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Country | US
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Telephone | 336-545-8133
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Fax | 336-545-8251
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Provider Business Mailing Address
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Address Line | 1450 PROFESSIONAL PARK DR STE 150
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1307
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Country | US
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Telephone | 336-724-2434
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 24351
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 24351
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 2021-00937
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License Number State | NC
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