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General NPI Number Information
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NPI Number | 1144250374
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Entity Type | Individual
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Provider Name | MARCI TROTTA LSCSW
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 915 S PARSONS AVE SUITE C
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City | BRANDON
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State | FL
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Zip | 33511-6000
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Country | US
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Telephone | 913-362-8899
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Fax | 913-362-8899
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Provider Business Mailing Address
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Address Line | 4111 CONCORD WAY
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City | PLANT CITY
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State | FL
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Zip | 33566-9515
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Country | US
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Telephone | 913-362-8899
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Fax | 913-362-8899
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3720
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 14365
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License Number State | FL
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