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General NPI Number Information
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NPI Number | 1356223648
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Entity Type | Individual
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Provider Name | ALYSSA VALENTINA SELIMOV DNP, NP
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Gender | Female
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 877 W FREMONT AVE STE N3
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City | SUNNYVALE
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State | CA
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Zip | 94087-2332
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Country | US
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Telephone | 650-521-5211
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Fax |
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Provider Business Mailing Address
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Address Line | 41 BONITA AVE
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City | REDWOOD CITY
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State | CA
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Zip | 94061-3701
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Country | US
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Telephone | 302-750-0353
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP95035884
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License Number State | CA
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