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General NPI Number Information
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NPI Number | 1659254951
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Entity Type | Individual
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Provider Name | AMA FREMA SELLY NP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 845 N MAIN ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-5700
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Country | US
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Telephone | 401-999-9286
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Fax |
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Provider Business Mailing Address
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Address Line | 845 N MAIN ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-5700
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Country | US
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Telephone | 401-999-9286
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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 | 364SP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RN2344706
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License Number State | MA
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