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General NPI Number Information
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NPI Number | 1679791859
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Entity Type | Organization
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Legal Business Name | STEPHEN H. TRAUM D.D.S.,P.A.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 98 JAMES ST SUITE 306
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City | EDISON
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State | NJ
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Zip | 08820-3902
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Country | US
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Telephone | 732-494-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 98 JAMES ST SUITE 306
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City | EDISON
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State | NJ
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Zip | 08820-3902
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PERIODONTIST
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Name | DR. STEPHEN H TRAUM
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Credential | D.D.S.
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Telephone | 732-494-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 10303
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License Number State | NJ
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