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General NPI Number Information
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NPI Number | 1134112337
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Entity Type | Individual
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Provider Name | DAVID CHARLES TROSTLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 755 NORMAN DR
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City | LEBANON
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State | PA
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Zip | 17042-7497
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Country | US
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Telephone | 717-273-6706
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Fax | 717-273-1435
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Provider Business Mailing Address
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Address Line | 755 NORMAN DR
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City | LEBANON
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State | PA
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Zip | 17042-7497
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Country | US
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Telephone | 717-273-6706
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Fax | 717-273-1435
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD029068E
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License Number State | PA
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