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General NPI Number Information
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NPI Number | 1316107402
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Entity Type | Individual
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Provider Name | JEANETTE B. TRUJILLO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 1177 HIGH RIDGE RD. SUITE 240
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City | STAMFORD
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State | CT
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Zip | 06905
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Country | US
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Telephone | 203-912-2039
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Fax |
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Provider Business Mailing Address
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Address Line | 1177 HIGH RIDGE RD. SUITE 240
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City | STAMFORD
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State | CT
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Zip | 06905
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Country | US
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Telephone | 203-912-2093
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Fax |
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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 | 002867
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License Number State | CT
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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 | 002867
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 016860
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License Number State | NY
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