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General NPI Number Information
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NPI Number | 1043418916
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Entity Type | Individual
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Provider Name | STEPHANIE JOYCE TRAYNOR PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 1213 OLD LANCASTER PIKE
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City | HOCKESSIN
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State | DE
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Zip | 19707-9560
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Country | US
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Telephone | 302-593-4675
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Fax | 302-235-2672
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Provider Business Mailing Address
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Address Line | 5 BAYARD CT
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City | WILMINGTON
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State | DE
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Zip | 19805-2855
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Country | US
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Telephone | 302-593-4675
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Fax | 302-235-2672
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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 | B1-0000744
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License Number State | DE
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