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General NPI Number Information
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NPI Number | 1629212907
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Entity Type | Organization
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Legal Business Name | SELLATI & CO., INC.
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Dates
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Enumeration Date | 04/30/2009
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 150 E ARLINGTON BOULEVARD SUITE C
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City | GREENVILLE
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State | NC
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Zip | 27858-5019
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Country | US
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Telephone | 252-353-2555
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Fax | 252-565-0137
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Provider Business Mailing Address
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Address Line | 1850 LEE RD SUITE 115
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City | WINTER PARK
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State | FL
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Zip | 32789
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Country | US
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Telephone | 407-677-1757
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Fax | 407-678-1074
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Authorized Official
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Title or Position | DIRECTOR OF QUALITY AND COMPLIANCE
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Name | MRS. JANIE MARIE LARCH
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Credential | LPC, LSATP
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Telephone | 804-977-2892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | MHL-074-167
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License Number State | NC
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