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General NPI Number Information
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NPI Number | 1982892527
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Entity Type | Organization
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Legal Business Name | SELBERT ALAN CHERNILA, M.D., INC
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 3400 LOMITA BLVD STE 310
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City | TORRANCE
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State | CA
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Zip | 90505-4921
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Country | US
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Telephone | 310-325-4731
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Fax | 310-325-6992
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Provider Business Mailing Address
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Address Line | 3400 LOMITA BLVD 310
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City | TORRANCE
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State | CA
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Zip | 90505-4909
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Country | US
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Telephone | 310-325-4731
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Fax | 310-325-6992
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SELBERT ALAN CHERNILA
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Credential | M.D.
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Telephone | 310-325-4731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G6613
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License Number State | CA
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