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General NPI Number Information
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NPI Number | 1982078408
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Entity Type | Individual
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Provider Name | SHTERNA SELIGSON
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Gender | Female
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 340 E 93RD ST #6C
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City | NEW YORK
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State | NY
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Zip | 10128-5547
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Country | US
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Telephone | 646-267-0825
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Fax |
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Provider Business Mailing Address
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Address Line | 340 EAST 93RD STREET #6C
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City | NEW YORK
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State | NY
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Zip | 10128
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Country | US
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Telephone | 646-267-0825
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 019322-1
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License Number State | NY
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