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General NPI Number Information
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NPI Number | 1518895705
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Entity Type | Individual
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Provider Name | ALENA SERYODKIN ABAT
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Gender | Female
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 5135 MORGANTON RD STE 101
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1525
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Country | US
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Telephone | 910-551-1670
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Fax | 910-491-0335
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Provider Business Mailing Address
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Address Line | 539 SUMMERLEA DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-1131
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Country | US
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Telephone | 916-475-8281
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 20489
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License Number State | NC
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