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General NPI Number Information
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NPI Number | 1174615819
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Entity Type | Individual
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Provider Name | SCOTT A SELIK D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 05/29/2013
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Provider Practice Location Address
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Address Line | 27321 COLLINGWOOD DR
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City | SOUTHFIELD
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State | MI
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Zip | 48033-2230
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Country | US
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Telephone | 248-242-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 27321 COLLINGWOOD DR
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City | SOUTHFIELD
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State | MI
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Zip | 48034-2230
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Country | US
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Telephone | 248-357-1414
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301005844
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License Number State | MI
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