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General NPI Number Information
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NPI Number | 1972595221
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Entity Type | Individual
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Provider Name | SEAN D EARLY MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 133 W SANTA CLARA ST
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City | VENTURA
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State | CA
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Zip | 93001-2543
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Country | US
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Telephone | 805-641-5600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9409
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City | BELFAST
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State | ME
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Zip | 04915-9409
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Country | US
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Telephone | 805-687-2424
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Fax | 805-687-0885
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A60507
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License Number State | CA
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