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General NPI Number Information
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NPI Number | 1104893403
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Entity Type | Individual
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Provider Name | THOMAS GRAHAM TROOP M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/06/2006
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 372 230TH ST
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City | ALEDO
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State | IL
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Zip | 61231-8628
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Country | US
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Telephone | 406-366-0148
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Fax |
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Provider Business Mailing Address
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Address Line | 1233 N 30TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-0127
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Country | US
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Telephone | 406-237-3850
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Fax | 406-237-3855
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 6457
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License Number State | MT
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