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General NPI Number Information
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NPI Number | 1124323662
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Entity Type | Individual
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Provider Name | DIANE L SELLERS RN, LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1220 W CENTER AVE
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City | VISALIA
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State | CA
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Zip | 93291-5911
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Country | US
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Telephone | 559-280-5756
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Fax |
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Provider Business Mailing Address
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Address Line | 4319 W CROWLEY AVE
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City | VISALIA
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State | CA
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Zip | 93291-5305
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Country | US
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Telephone | 559-733-3830
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Fax | 559-733-3830
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN 197014
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 49484
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License Number State | CA
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