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General NPI Number Information
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NPI Number | 1750418406
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Entity Type | Organization
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Legal Business Name | MELISSA SELKE, M.D. P.C.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 04/03/2008
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Provider Practice Location Address
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Address Line | 390 AMWELL RD BLDG # 4, STE. 405
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1225
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Country | US
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Telephone | 908-281-5650
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Fax | 908-281-4311
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Provider Business Mailing Address
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Address Line | 390 AMWELL RD BLDG. #4, SUITE 405
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1225
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Country | US
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Telephone | 908-281-5650
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Fax | 908-281-4311
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Authorized Official
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Title or Position | OWNER OF CORPORATION
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Name | DR. MELISSA DAWN SELKE
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Credential | M.D.
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Telephone | 908-281-5650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MA67608
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License Number State | NJ
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