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General NPI Number Information
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NPI Number | 1114144110
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Entity Type | Individual
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Provider Name | VICTORIA MARY SELSER PSYCHOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 500 13TH AVE E APT 406
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City | SEATTLE
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State | WA
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Zip | 98102-5188
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Country | US
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Telephone | 206-328-7808
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Fax | 206-328-7808
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Provider Business Mailing Address
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Address Line | 2401 10TH AVE E 500 13TH AVE E #406
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City | SEATTLE
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State | WA
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Zip | 98102-4011
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Country | US
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Telephone | 206-658-3389
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Fax | 206-328-7808
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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 | PY 00001091
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License Number State | WA
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