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Individual
SEAN D HARPER
Active
Individual
SEAN D HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003748
IL
363A00000X
Physician Assistant
Primary
10001243A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01197281
RR MEDICARE PTAN
IN
Enumeration date
07/14/2010
Last updated
06/15/2016
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