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General NPI Number Information
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NPI Number | 1417224130
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Entity Type | Individual
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Provider Name | DANA SELZNICK M.ED M.A
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Gender | Female
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 560 W 43RD ST APARTMENT 4F
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City | NEW YORK
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State | NY
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Zip | 10036-4300
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Country | US
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Telephone | 407-697-2426
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Fax |
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Provider Business Mailing Address
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Address Line | 560 W 43RD ST APARTMENT 4F
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City | NEW YORK
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State | NY
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Zip | 10036-4300
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2364750
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License Number State | NY
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