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General NPI Number Information
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NPI Number | 1699122010
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Entity Type | Individual
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Provider Name | DARYL SELEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 100 DUDLEY ST FLOOR 2 STE 2100
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City | PROVIDENCE
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State | RI
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Zip | 02905-3233
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Country | US
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Telephone | 401-430-7347
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Fax | 401-889-5089
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Provider Business Mailing Address
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Address Line | 455 TOLL GATE RD
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City | WARWICK
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State | RI
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Zip | 02886-2759
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Country | US
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Telephone | 401-273-0641
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Fax | 401-273-2919
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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 | MD18310
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD18310
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License Number State | RI
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