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General NPI Number Information
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NPI Number | 1427212695
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Entity Type | Individual
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Provider Name | RYAN SELLINGER D.M.D
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Gender | Male
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 111 BROADWAY 17TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10006-1901
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Country | US
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Telephone | 212-267-1884
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Fax | 212-267-0022
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Provider Business Mailing Address
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Address Line | 47 BOULDER RIDGE RD
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City | SCARSDALE
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State | NY
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Zip | 10583-3152
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Country | US
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Telephone | 515-967-8050
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | BS9826807
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License Number State | NY
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