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General NPI Number Information
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NPI Number | 1952352445
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Entity Type | Individual
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Provider Name | BRIAN E SAELENS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE CHILDREN'S HOSPITAL & REGIONAL MEDICAL CENTER
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 206-616-1224
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Fax | 206-616-4623
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Provider Business Mailing Address
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Address Line | 6200 NE 74TH ST CHILD HEALTH INSTITUTE
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City | SEATTLE
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State | WA
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Zip | 98115-8159
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Country | US
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Telephone | 206-616-1224
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Fax | 206-616-4623
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00003613
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License Number State | WA
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