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General NPI Number Information
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NPI Number | 1306227426
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Entity Type | Individual
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Provider Name | STEPHANIE TRAYLOR M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 181 TAYLOR AVE
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City | COLUMBUS
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State | OH
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Zip | 43203-1779
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Country | US
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Telephone | 614-293-9600
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Fax | 614-293-1456
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-293-9600
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Fax | 614-293-1456
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35133723
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 35.133723
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301107856
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 35.133723
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License Number State | OH
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