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General NPI Number Information
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NPI Number | 1083323414
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Entity Type | Individual
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Provider Name | INA SELITA AU.D
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Gender | Female
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 188 E BERGEN PLACE SUITE #301
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City | RED BANK
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State | NJ
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Zip | 07701-2162
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Country | US
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Telephone | 732-842-1971
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Fax |
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Provider Business Mailing Address
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Address Line | 188 E BERGEN PLACE SUITE #301
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City | RED BANK
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State | NJ
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Zip | 07701-2162
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Country | US
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Telephone | 732-842-1971
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 003157-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 003157
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 41YA00124600
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License Number State | NJ
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