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General NPI Number Information
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NPI Number | 1457639783
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Entity Type | Organization
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Legal Business Name | ROBERTO OELSNER AND MIRTA BERMAN-OELSNER FIPA PLLC
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 4119 DAYTON AVE N
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City | SEATTLE
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State | WA
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Zip | 98103-7722
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Country | US
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Telephone | 206-441-3667
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Fax | 206-374-3721
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Provider Business Mailing Address
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Address Line | 4119 DAYTON AVE N
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City | SEATTLE
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State | WA
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Zip | 98103-7722
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Country | US
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Telephone | 206-441-3667
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Fax | 206-374-3721
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERTO RAUL OELSNER
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Credential | LMHC
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Telephone | 206-441-3667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | LH601637728
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License Number State | WA
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