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General NPI Number Information
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NPI Number | 1205254232
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Entity Type | Organization
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Legal Business Name | REBECCA D. TRENT
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 222 PHILADELPHIA PIKE
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City | WILMINGTON
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State | DE
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Zip | 19809-3166
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Country | US
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Telephone | 443-945-0615
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HENRY CT
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City | WILMINGTON
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State | DE
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Zip | 19808-2017
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MS. REBECCA DAWN TRENT
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Credential | LPCMH, NCC, CADC
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Telephone | 443-945-0615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC-0000598
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License Number State | DE
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