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General NPI Number Information
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NPI Number | 1871414615
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Entity Type | Individual
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Provider Name | SELVIN HAMMICK RN
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Gender | Male
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 12 WATER ST STE 401
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City | WHITE PLAINS
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State | NY
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Zip | 10601-1401
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Country | US
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Telephone | 347-750-4134
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 E 56TH ST
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City | BROOKLYN
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State | NY
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Zip | 11234-3330
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 696002
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License Number State | NY
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