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General NPI Number Information
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NPI Number | 1124087895
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Entity Type | Individual
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Provider Name | BONNIE LYNN SELL REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 1723 NEW YORK AVE
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City | MANITOWOC
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State | WI
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Zip | 54220-3163
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Country | US
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Telephone | 920-683-9447
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Fax |
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Provider Business Mailing Address
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Address Line | 621 N 10TH ST
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City | MANITOWOC
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State | WI
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Zip | 54220-3901
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Country | US
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Telephone | 920-686-9085
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 128197
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License Number State | WI
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