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General NPI Number Information
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NPI Number | 1194247254
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Entity Type | Individual
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Provider Name | DANIEL WEINTRAUB PHD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2017
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 100 COMMERCE DR STE 300
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City | NEWARK
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State | DE
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Zip | 19713-2878
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Country | US
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Telephone | 302-224-1400
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Fax | 302-224-1402
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Provider Business Mailing Address
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Address Line | 100 COMMERCE DR STE 300
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City | NEWARK
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State | DE
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Zip | 19713-2878
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Country | US
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Telephone | 302-224-1400
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Fax | 302-224-1402
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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 | B1-0000360
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | B1-0000360
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License Number State | DE
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