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General NPI Number Information
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NPI Number | 1699969725
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Entity Type | Individual
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Provider Name | ERMIAS SELESHI MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 1479 COLLINS AVE
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City | MARYSVILLE
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State | OH
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Zip | 43040-8808
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Country | US
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Telephone | 216-288-1771
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3818
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City | DUBLIN
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State | OH
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Zip | 43016-0424
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D27031
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35.048359
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G9800
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License Number State | TX
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