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General NPI Number Information
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NPI Number | 1972478089
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Entity Type | Individual
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Provider Name | CASSIDY LILLIAN SELLMAN
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Gender | Female
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 68 GOOD SAMARITAN DR
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City | FRANKLIN
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State | WV
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Zip | 26807-6648
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Country | US
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Telephone | 304-358-2322
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Fax |
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Provider Business Mailing Address
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Address Line | 102 KINLOCK RD
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City | INWOOD
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State | WV
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Zip | 25428-5360
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 002994
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License Number State | WV
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