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NPI 1114637600

NPI 1114637600 : MR. ERIK ANDREW TROFF JR. : PLYMOUTH, MN

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General NPI Number Information
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    NPI Number           |    1114637600
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    Entity Type          |    Individual 
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    Provider Name        |    MR. ERIK ANDREW TROFF JR.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/25/2022
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    Last Update Date     |    11/05/2024
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Provider Practice Location Address
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    Address Line         |    4100 BERKSHIRE LN N 
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    City                 |    PLYMOUTH
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    State                |    MN
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    Zip                  |    55446-3813
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    Country              |    US
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    Telephone            |    571-422-8131
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4100 BERKSHIRE LN N 
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    City                 |    PLYMOUTH
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    State                |    MN
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    Zip                  |    55446-3813
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    Country              |    US
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    Telephone            |    571-422-8131
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    4655
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    License Number State |    MN
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