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NPI 1215464482

NPI 1215464482 : LINDSEY M. SELBY PA-C : MEDIA, PA

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General NPI Number Information
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    NPI Number           |    1215464482
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSEY M. SELBY PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/18/2017
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    Last Update Date     |    11/25/2025
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Provider Practice Location Address
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    Address Line         |    1088 W BALTIMORE PIKE STE 2500 
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    City                 |    MEDIA
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    State                |    PA
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    Zip                  |    19063-5166
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    Country              |    US
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    Telephone            |    484-227-8800
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    Fax                  |    484-227-2500
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Provider Business Mailing Address
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    Address Line         |    3803 W CHESTER PIKE STE 160 3803 W CHESTER PIKE STE 160
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    City                 |    NEWTOWN SQUARE
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    State                |    PA
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    Zip                  |    19073-2336
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    Country              |    US
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    Telephone            |    484-227-8800
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    Fax                  |    484-227-2500
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    MA066901
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    License Number State |    PA
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