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General NPI Number Information
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NPI Number | 1487837563
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Entity Type | Individual
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Provider Name | RICHARD L SELLMAN JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 1836 SOUTH AVE
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City | LA CROSSE
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State | WI
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Zip | 54601-5429
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Country | US
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Telephone | 608-782-7300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1656
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City | MISSOULA
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State | MT
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Zip | 59806-1656
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Country | US
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Telephone | 406-543-0550
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Fax | 406-543-6180
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 8613
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 8613
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 37743
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License Number State | WI
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