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General NPI Number Information
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NPI Number | 1710840186
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Entity Type | Organization
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Legal Business Name | NICHOLE SEYMANSKI
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 677 WOODLAND SQUARE LOOP SE STE B-7
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City | OLYMPIA
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State | WA
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Zip | 98503-1000
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Country | US
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Telephone | 253-590-5192
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 MARVIN RD NE STE C
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City | LACEY
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State | WA
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Zip | 98516-3878
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Country | US
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Telephone | 253-590-5192
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICHOLE M. SEYMANSKI
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Credential | PSY.D.
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Telephone | 253-590-5192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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