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General NPI Number Information
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NPI Number | 1811694896
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Entity Type | Individual
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Provider Name | SELIN KURLANDSKI BSC, MSC, PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 134 S DIXIE HWY
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5407
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Country | US
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Telephone | 954-505-7169
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Fax |
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Provider Business Mailing Address
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Address Line | 134 S DIXIE HWY STE 103
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5423
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Country | US
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Telephone | 954-505-7169
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 9873
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License Number State | FL
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