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General NPI Number Information
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NPI Number | 1164508065
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Entity Type | Individual
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Provider Name | KATHY A SELVES
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | IMA-EUROPE ATTN: SFIM-EU-HR (SAIC-ASACS) UNIT 29353, BOX 200
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City | APO
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State | AE
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Zip | 09014-9353
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Country | US
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Telephone | 496221163912
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 420 BOX 2674
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City | APO
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State | AE
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Zip | 09063
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I0010165
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW08302
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License Number State | WA
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