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General NPI Number Information
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NPI Number | 1023783339
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Entity Type | Individual
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Provider Name | TONYA NICOLE SELLINGER PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 110 HELM ST
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-1496
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Country | US
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Telephone | 270-506-2967
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Fax | 270-900-1674
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Provider Business Mailing Address
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Address Line | 256 TOPFIELD RD
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City | LOUISVILLE
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State | KY
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Zip | 40229-4464
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Country | US
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Telephone | 502-851-1972
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3016463
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License Number State | KY
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