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General NPI Number Information
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NPI Number | 1992981567
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Entity Type | Individual
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Provider Name | MRS. SUE LYNN SHEEHAN
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Gender | Female
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 129 SOUTH MAIN STREET
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City | RICHLANDTOWN
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State | PA
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Zip | 18955
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Country | US
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Telephone | 215-536-0357
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 611
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City | RICHLANDTOWN
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State | PA
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Zip | 18955-0611
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Country | US
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Telephone | 215-536-0357
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | SL004510L
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License Number State | PA
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