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General NPI Number Information
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NPI Number | 1063772382
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Entity Type | Individual
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Provider Name | HOLLY SERRAO PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 10/05/2014
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Provider Practice Location Address
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Address Line | 2310 NOTT ST E
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City | NISKAYUNA
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State | NY
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Zip | 12309-4303
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Country | US
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Telephone | 518-598-4323
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Fax | 518-372-6081
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Provider Business Mailing Address
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Address Line | 306 FOXWOOD DR
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City | CLIFTON PARK
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State | NY
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Zip | 12065-6911
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Country | US
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Telephone | 518-598-4323
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Fax | 518-372-6081
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1207
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 1207
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 1207
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 1207
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1207
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License Number State | SC
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Taxonomy #6
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number | 1207
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License Number State | SC
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Taxonomy #7
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 1207
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License Number State | SC
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Taxonomy #8
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | 1207
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License Number State | SC
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Taxonomy #9
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 1207
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License Number State | SC
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