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General NPI Number Information
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NPI Number | 1639094469
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Entity Type | Individual
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Provider Name | ESTEBAN GALVIS SERNA PHD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 8504 DARTON WAY STE 101
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City | RALEIGH
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State | NC
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Zip | 27616-9317
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Country | US
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Telephone | 919-261-7786
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Fax |
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Provider Business Mailing Address
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Address Line | 121 WATERTREE LN
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City | APEX
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State | NC
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Zip | 27502-4180
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PA7085
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License Number State | NC
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