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General NPI Number Information
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NPI Number | 1568887198
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Entity Type | Individual
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Provider Name | KAREN LONG-TRAYNOR PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 3415 BAINBRIDGE AVE FL 9
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City | BRONX
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State | NY
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Zip | 10467-2403
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Country | US
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Telephone | 718-741-2342
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Fax |
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Provider Business Mailing Address
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Address Line | 52 RIDGEWOOD AVE
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City | YONKERS
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State | NY
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Zip | 10704-2304
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Country | US
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Telephone | 917-536-0405
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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 | 020468-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35SI00613200
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License Number State | NJ
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