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General NPI Number Information
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NPI Number | 1043291149
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Entity Type | Individual
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Provider Name | JOHN MARK TROTTER PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10000 BAY PINES BLVD
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City | BAY PINES
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State | FL
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Zip | 33708
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Country | US
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Telephone | 727-398-6661
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Fax | 727-398-9506
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Provider Business Mailing Address
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Address Line | 2850 BULLARD DR
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City | CLEARWATER
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State | FL
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Zip | 33762-3010
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Country | US
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Telephone | 727-573-0368
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 25644
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License Number State | FL
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