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NPI 1598815136

NPI 1598815136 : MR. JAY SELLINGER : WHITE PLAINS, NY

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General NPI Number Information
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    NPI Number           |    1598815136
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    Entity Type          |    Individual 
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    Provider Name        |    MR. JAY SELLINGER
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/12/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    901 N BROADWAY SUITE 14
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    City                 |    WHITE PLAINS
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    State                |    NY
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    Zip                  |    10603-2418
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    Country              |    US
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    Telephone            |    914-949-6220
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    Fax                  |    914-949-3972
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Provider Business Mailing Address
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    Address Line         |    66 MILTON RD #E-32
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    City                 |    RYE
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    State                |    NY
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    Zip                  |    10580-3850
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    Country              |    US
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    Telephone            |    914-946-6220
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    Fax                  |    914-946-3972
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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