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NPI 1134595788

NPI 1134595788 : JOSEPH ALAN TROUT PT, DPT, MS, CSCS : BEAVER, WV

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General NPI Number Information
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    NPI Number           |    1134595788
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH ALAN TROUT PT, DPT, MS, CSCS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/18/2015
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    Last Update Date     |    05/28/2025
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Provider Practice Location Address
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    Address Line         |    993 RITTER DR STE 2 
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    City                 |    BEAVER
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    State                |    WV
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    Zip                  |    25813-9556
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    Country              |    US
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    Telephone            |    276-698-1275
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    133 ROSEMAR RD STE 1 
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    City                 |    PARKERSBURG
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    State                |    WV
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    Zip                  |    26104-7609
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    Country              |    US
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    Telephone            |    304-693-2781
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT003528
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    License Number State |    WV
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