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General NPI Number Information
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NPI Number | 1629353750
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Entity Type | Organization
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Legal Business Name | SERA-BUDNEY & ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/20/2011
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 175 S UNION BLVD STE 330
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City | COLORADO SPRINGS
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State | CO
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Zip | 80910-3143
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Country | US
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Telephone | 719-650-5672
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Fax |
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Provider Business Mailing Address
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Address Line | 6085 GAMBLER PL
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City | COLORADO SPRINGS
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State | CO
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Zip | 80908-1143
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Country | US
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Telephone | 719-650-5672
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. KATHRYN K SERA-BUDNEY
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Credential | M.S.
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Telephone | 719-650-5672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 67
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License Number State | CO
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