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General NPI Number Information
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NPI Number | 1134359003
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Entity Type | Individual
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Provider Name | SHAYLA SELLARS-JAYNES O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 225 N WOOD AVE STE 100
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City | LINDEN
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State | NJ
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Zip | 07036-4200
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Country | US
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Telephone | 908-555-3366
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Fax |
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Provider Business Mailing Address
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Address Line | 3005 HONEYMEAD RD
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-6023
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Country | US
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Telephone |
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7439T
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License Number State | TX
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