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General NPI Number Information
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NPI Number | 1710929583
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Entity Type | Individual
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Provider Name | ANNE SELBY LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 01/30/2009
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Provider Practice Location Address
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Address Line | 915 MIDDLE RIVER DR 317
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City | FT LAUDERDALE
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State | FL
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Zip | 33304-3544
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Country | US
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Telephone | 954-630-0442
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Fax |
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Provider Business Mailing Address
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Address Line | 2825 NE 33RD AVE APT 203
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-7438
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Country | US
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Telephone | 954-630-0442
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Fax | 954-630-0422
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3313
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License Number State | FL
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