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General NPI Number Information
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NPI Number | 1124178355
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Entity Type | Individual
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Provider Name | ROBERT B TROVILLION D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 350 E MILLSAP RD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4098
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Country | US
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Telephone | 479-521-7850
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Fax | 479-442-4779
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Provider Business Mailing Address
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Address Line | 2783 N CENTERWOOD RD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3604
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Country | US
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Telephone | 479-251-1697
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Fax | 479-251-1691
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 174
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 000805
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 768
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License Number State | WI
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