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General NPI Number Information
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NPI Number | 1366346835
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Entity Type | Organization
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Legal Business Name | SELAH PSYCHIATRIC CARE & WELLNESS, LLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 605 N BROAD ST STE 5
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City | MIDDLETOWN
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State | DE
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Zip | 19709-1052
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Country | US
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Telephone | 302-303-5276
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Fax | 302-208-8934
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Provider Business Mailing Address
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Address Line | 605 N BROAD STREET SUITE 5 369
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City | MIDDLETOWN
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State | DE
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Zip | 19709-1052
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Country | US
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Telephone | 302-303-5276
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Fax | 302-208-8934
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Authorized Official
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Title or Position | PMHNP
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Name | CHRYSTAL HAWKINS
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Credential | NP
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Telephone | 302-303-5276
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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 |
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License Number State | NULL
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