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General NPI Number Information
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NPI Number | 1164295960
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Entity Type | Individual
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Provider Name | SELENE M CAZARES ESPINOSA
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Gender | Female
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Dates
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Enumeration Date | 11/02/2023
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 8720 14TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98108-4807
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Country | US
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Telephone | 206-762-3730
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Fax | 206-764-0523
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Provider Business Mailing Address
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Address Line | 3224 BEACON AVE S
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City | SEATTLE
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State | WA
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Zip | 98144-6331
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Country | US
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Telephone | 253-285-3812
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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