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General NPI Number Information
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NPI Number | 1164863890
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Entity Type | Organization
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Legal Business Name | TAMILA SELITSKY OB-GYN PC
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 660 92ND ST 1ST FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11228-3621
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Country | US
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Telephone | 718-680-4800
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Fax | 718-680-2400
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Provider Business Mailing Address
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Address Line | 660 92ND ST 1ST FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11228-3621
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Country | US
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Telephone | 718-680-4800
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Fax | 718-680-2400
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LOLA SHLEMINA
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Credential |
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Telephone | 718-680-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 234424
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License Number State | NY
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