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General NPI Number Information
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NPI Number | 1225223258
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Entity Type | Organization
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Legal Business Name | PAIN TREATMENT & WELLNESS CENTER PC.
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 2445 4TH AVE S STE 112
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City | SEATTLE
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State | WA
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Zip | 98134-1939
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Country | US
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Telephone | 206-467-7202
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Fax | 206-622-0616
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Provider Business Mailing Address
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Address Line | 2445 4TH AVE S STE 112
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City | SEATTLE
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State | WA
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Zip | 98134-1939
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Country | US
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Telephone | 206-467-7202
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Fax | 206-622-0616
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEX SELINSKY
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Credential | D.C.
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Telephone | 206-467-7202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH00002314
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License Number State | WA
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