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General NPI Number Information
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NPI Number | 1265617849
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Entity Type | Organization
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Legal Business Name | SELKIRK FAMILY MEDICINE & WOMENS HEALTH PLLC
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 1215 MICHIGAN ST STE C
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City | SANDPOINT
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State | ID
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Zip | 83864-5014
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Country | US
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Telephone | 208-263-1299
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Fax | 208-263-1557
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Provider Business Mailing Address
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Address Line | 1215 MICHIGAN ST SUITE C
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City | SANDPOINT
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State | ID
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Zip | 83864
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Country | US
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Telephone | 208-263-1299
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Fax | 208-263-1557
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA W DALSING
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Credential | NP
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Telephone | 208-263-1299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NP255A
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License Number State | ID
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