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General NPI Number Information
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NPI Number | 1154184588
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Entity Type | Organization
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Legal Business Name | TROUPE HEALTH MEDICAL GROUP, PA
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 3918 S KINGS AVE
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City | BRANDON
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State | FL
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Zip | 33511-7749
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Country | US
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Telephone | 813-603-2061
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Fax |
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Provider Business Mailing Address
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Address Line | 85 5TH AVE FL 8
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City | NEW YORK
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State | NY
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Zip | 10003-3019
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HEAD OF CLINICAL OPERATIONS
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Name | HOLLY HRABIK
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Credential |
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Telephone | 913-669-3321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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