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General NPI Number Information
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NPI Number | 1295161966
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Entity Type | Individual
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Provider Name | JUDITH Y SELBY RN
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Gender | Female
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Dates
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Enumeration Date | 09/25/2013
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 1827 E OLIVE ST
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City | SHOREWOOD
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State | WI
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Zip | 53211-2069
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Country | US
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Telephone | 414-915-1386
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Fax |
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Provider Business Mailing Address
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Address Line | 1827 E OLIVE ST
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City | SHOREWOOD
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State | WI
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Zip | 53211-2069
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Country | US
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Telephone | 414-915-1386
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 316462-31
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 221403-30
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License Number State | WI
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