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General NPI Number Information
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NPI Number | 1538403514
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Entity Type | Individual
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Provider Name | KATHERINE LYNN SELBY APRN
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 137 MITCHELLS CHANCE RD
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City | EDGEWATER
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State | MD
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Zip | 21037-2787
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Country | US
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Telephone | 410-955-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone |
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Fax | 502-272-5116
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC006945
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3007745
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License Number State | KY
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