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General NPI Number Information
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NPI Number | 1215167291
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Entity Type | Organization
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Legal Business Name | PAUL A. SELECKY, M.D.,INC.
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 1 HOAG DR PAUL SELECKY - PULMONARY
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4162
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Country | US
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Telephone | 949-794-5505
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Fax | 949-764-8027
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Provider Business Mailing Address
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Address Line | 7202 BLUESAILS DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-3517
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Country | US
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Telephone | 949-794-5505
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Fax | 949-764-8027
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL ANTHONY SELECKY
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Credential | M.D.
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Telephone | 949-764-5505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | C30435
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C30435
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | C30435
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License Number State | CA
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