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General NPI Number Information
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NPI Number | 1619591724
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Entity Type | Individual
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Provider Name | KATHRYN GORDON SELLMAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 2104 W LABURNUM AVE STE 207
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City | RICHMOND
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State | VA
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Zip | 23227-4357
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Country | US
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Telephone | 804-354-8108
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Fax | 804-354-8075
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Provider Business Mailing Address
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Address Line | 2104 W LABURNUM AVE STE 207
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City | RICHMOND
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State | VA
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Zip | 23227-4357
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Country | US
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Telephone | 804-354-8108
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Fax | 804-354-8075
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 0101283491
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License Number State | VA
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