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General NPI Number Information
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NPI Number | 1962794297
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Entity Type | Individual
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Provider Name | KELLY A SERAFINI MA
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Gender | Female
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 05/30/2016
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Provider Practice Location Address
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Address Line | 1401 MADISON ST STE 100
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City | SEATTLE
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State | WA
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Zip | 98104-1316
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Country | US
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Telephone | 206-386-6111
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Fax | 206-386-6113
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Provider Business Mailing Address
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Address Line | 1401 MADISON ST STE 100
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City | SEATTLE
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State | WA
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Zip | 98104-1316
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Country | US
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Telephone | 206-320-4476
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Fax | 206-568-7043
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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 | PY 60568629
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License Number State | WA
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