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General NPI Number Information
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NPI Number | 1982848388
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Entity Type | Organization
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Legal Business Name | SELLATI & CO., INC.
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Dates
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Enumeration Date | 04/29/2009
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 4926 W BROAD ST
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City | RICHMOND
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State | VA
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Zip | 23230-3122
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Country | US
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Telephone | 804-673-5241
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Fax | 804-673-5243
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Provider Business Mailing Address
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Address Line | 6100 TOWER CIR STE 1000
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City | FRANKLIN
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State | TN
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Zip | 37067-1509
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Country | US
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Telephone | 615-861-6000
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Fax | 877-552-0439
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Authorized Official
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Title or Position | EVP & SECRETARY
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Name | BRIAN FARLEY
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | 089
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License Number State | VA
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