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General NPI Number Information
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NPI Number | 1811953235
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Entity Type | Individual
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Provider Name | SCOTT SELLERS DO
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 15325 BOND ST
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City | OVERLAND PARK
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State | KS
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Zip | 66221
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Country | US
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Telephone | 620-474-7996
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Fax |
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Provider Business Mailing Address
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Address Line | 15325 BOND ST
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City | OVERLAND PARK
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State | KS
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Zip | 66221-7888
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Country | US
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Telephone | 620-474-7996
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R9F66
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05-21495
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License Number State | KS
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