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General NPI Number Information
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NPI Number | 1770963399
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Entity Type | Individual
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Provider Name | SARAH MARIE SELEM M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 04/15/2018
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Provider Practice Location Address
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Address Line | 6920 NERVIA ST
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City | CORAL GABLES
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State | FL
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Zip | 33146-3615
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Country | US
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Telephone | 305-667-0940
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Fax | 305-667-0938
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Provider Business Mailing Address
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Address Line | 6920 NERVIA ST
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City | CORAL GABLES
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State | FL
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Zip | 33146-3615
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Country | US
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Telephone | 305-667-0940
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Fax | 305-667-0938
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TRN# 21594
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME134919
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License Number State | FL
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