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General NPI Number Information
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NPI Number | 1629045679
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Entity Type | Individual
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Provider Name | EMMA L SELBY CNP
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Gender | Female
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1010 CEREAL AVE STE. 307
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City | HAMILTON
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State | OH
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Zip | 45013-2784
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Country | US
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Telephone | 513-867-2622
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Fax | 513-867-2093
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Provider Business Mailing Address
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Address Line | 2330 SHERWOOD LN
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City | NORWOOD
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State | OH
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Zip | 45212-2220
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Country | US
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Telephone | 513-631-3307
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Fax | 513-867-2093
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP-03686
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License Number State | OH
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