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General NPI Number Information
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NPI Number | 1750685939
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Entity Type | Organization
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Legal Business Name | SELLYEI CHIROPRACTIC
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Dates
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Enumeration Date | 01/03/2011
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Last Update Date | 01/03/2011
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Provider Practice Location Address
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Address Line | 7211 E GENESEE ST
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City | FAYETTEVILLE
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State | NY
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Zip | 13066-1262
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Country | US
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Telephone | 315-651-1957
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Fax |
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Provider Business Mailing Address
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Address Line | 6561 STATE ROUTE 90 N
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City | CAYUGA
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State | NY
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Zip | 13034-3205
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Country | US
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Telephone | 315-651-1957
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Fax |
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Authorized Official
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Title or Position | DR
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Name | LYNN A SELLYEI
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Credential | DC
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Telephone | 315-651-1957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 011281
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License Number State | NY
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