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General NPI Number Information
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NPI Number | 1124235577
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Entity Type | Individual
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Provider Name | RAQUEL SELINGER RPH
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 529 I ST
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City | EUREKA
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State | CA
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Zip | 95501-1116
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Country | US
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Telephone | 707-268-2162
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Fax | 707-441-2065
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Provider Business Mailing Address
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Address Line | 400 CRESTWOOD DR
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City | ARCATA
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State | CA
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Zip | 95521-6929
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Country | US
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Telephone | 707-616-3356
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Fax | 707-441-2065
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 44911
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License Number State | CA
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