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General NPI Number Information
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NPI Number | 1619172194
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Entity Type | Organization
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Legal Business Name | CAROLYN A. TRASKO LLC
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 28312 LEWES GEORGETOWN HWY
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City | MILTON
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State | DE
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Zip | 19968-3115
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Country | US
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Telephone | 302-827-3356
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Fax |
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Provider Business Mailing Address
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Address Line | 32350 PRESERVE DR
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City | LEWES
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State | DE
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Zip | 19958-5977
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Country | US
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Telephone | 302-827-3356
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CAROLYN ANN TRASKO
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Credential | LCSW
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Telephone | 860-334-1477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 004350
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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