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NPI 1134363534

NPI 1134363534 : SELLATI & CO., INC. : ANNANDALE, VA

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General NPI Number Information
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    NPI Number           |    1134363534
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    Entity Type          |    Organization 
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    Legal Business Name  |    SELLATI & CO., INC. 
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Dates
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    Enumeration Date     |    04/29/2009
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    Last Update Date     |    04/09/2025
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Provider Practice Location Address
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    Address Line         |    7008 LITTLE RIVER TPKE STE G 
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    City                 |    ANNANDALE
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    State                |    VA
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    Zip                  |    22003-3234
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    Country              |    US
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    Telephone            |    703-333-3113
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    Fax                  |    703-333-3116
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Provider Business Mailing Address
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    Address Line         |    6100 TOWER CIR STE 1000 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-1509
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    Country              |    US
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    Telephone            |    615-861-6000
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    Fax                  |    877-552-0439
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Authorized Official
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    Title or Position    |    EVP & SECRETARY
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    Name                 |     BRIAN  FARLEY 
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    Credential           |    
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    Telephone            |    615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM2800X
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    Taxonomy Name        |    Methadone Clinic
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    License Number       |    089
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    License Number State |    VA
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