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General NPI Number Information
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NPI Number | 1306406749
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Entity Type | Individual
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Provider Name | ROBERT LOUIS SELKO DO, MS
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Gender | Male
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 315 STATE ROUTE 31 S
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City | WASHINGTON
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State | NJ
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Zip | 07882-4069
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Country | US
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Telephone | 484-526-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 1625 WALLACE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3348
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Country | US
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Telephone |
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 25MB12257600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | OS021086
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License Number State | PA
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