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General NPI Number Information
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NPI Number | 1629211016
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Entity Type | Individual
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Provider Name | SCOTT SELINGER MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 1601 TRINITY ST
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City | AUSTIN
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State | TX
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Zip | 78712-1765
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Country | US
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Telephone | 833-882-2737
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 VETERANS BLVD
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City | REDWOOD CITY
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State | CA
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Zip | 94063-2037
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Country | US
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Telephone | 650-299-2000
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | S4682
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A122901
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License Number State | CA
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