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General NPI Number Information
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NPI Number | 1215920160
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Entity Type | Individual
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Provider Name | TODD STEVEN TRAUB MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 1717 E MORTEN AVE UNIT 26
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City | PHOENIX
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State | AZ
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Zip | 85020-4755
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Country | US
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Telephone | 727-743-0680
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Fax | 727-205-5430
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Provider Business Mailing Address
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Address Line | 3000 MEDICAL PARK DR STE 510
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City | TAMPA
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State | FL
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Zip | 33613-6602
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Country | US
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Telephone | 813-872-4492
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Fax | 813-830-9400
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 46617
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME53592
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD25704
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License Number State | ME
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