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General NPI Number Information
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NPI Number | 1639124381
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Entity Type | Organization
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Legal Business Name | JOSE SELEM, M.D., P.A.
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 814 PONCE DE LEON BLVD STE 510
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City | CORAL GABLES
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-444-0221
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Fax | 305-444-0223
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Provider Business Mailing Address
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Address Line | 1416 CASTILE AVE
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City | CORAL GABLES
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-720-8668
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Fax | 305-444-0223
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE S SELEM
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Credential | M.D.
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Telephone | 305-720-8668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME 43829
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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