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General NPI Number Information
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NPI Number | 1699034553
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Entity Type | Organization
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Legal Business Name | STEPHEN DIJULIO, PHD, LLC
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Dates
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Enumeration Date | 05/14/2012
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Last Update Date | 05/14/2012
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Provider Practice Location Address
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Address Line | 405 FOULK RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3809
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Country | US
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Telephone | 302-655-1100
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Fax | 302-655-1149
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Provider Business Mailing Address
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Address Line | 405 FOULK RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3809
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Country | US
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Telephone | 302-655-1100
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Fax | 302-655-1149
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | STEPHEN C DIJULIO
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Credential | PHD, LLC
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Telephone | 302-655-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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