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General NPI Number Information
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NPI Number | 1841458221
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Entity Type | Individual
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Provider Name | AUDREY EVE LONGSON DO
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Gender | Female
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 260 CHAPMAN RD STE 205C
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City | NEWARK
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State | DE
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Zip | 19702-5449
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Country | US
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Telephone | 302-533-7582
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Fax |
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Provider Business Mailing Address
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Address Line | 8 THE GRN # 16016
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City | DOVER
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State | DE
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Zip | 19901-3618
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Country | US
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Telephone | 302-603-1005
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Fax | 302-546-5700
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MB09220700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C2-0013040
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 06015
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 6440
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036172898
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License Number State | IL
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