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General NPI Number Information
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NPI Number | 1730606450
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Entity Type | Individual
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Provider Name | TESNIME SELMANE SLP-CCC
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Gender | Female
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 10/09/2018
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Provider Practice Location Address
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Address Line | 2701 CHESTNUT STATION CT
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City | LOUISVILLE
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State | KY
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Zip | 40299-6395
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Country | US
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Telephone | 800-335-1060
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 SHEFFIELD ST APT 101
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City | PITTSBURGH
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State | PA
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Zip | 15233-1538
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Country | US
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Telephone | 734-904-4841
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SL014189
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 46003049A
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License Number State | IN
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