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General NPI Number Information
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NPI Number | 1154200723
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Entity Type | Organization
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Legal Business Name | TROY NOONAN MD PA
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1119 NIKKI VIEW DR
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City | BRANDON
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State | FL
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Zip | 33511-4879
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Country | US
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Telephone | 813-657-7022
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Fax | 813-657-1049
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Provider Business Mailing Address
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Address Line | 1119 NIKKI VIEW DR
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City | BRANDON
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State | FL
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Zip | 33511-4879
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Country | US
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Telephone | 813-657-7022
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Fax | 813-657-1049
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | MR. CHRISTOPHER MILLER
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Credential | PA-C CAQ PSYCH
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Telephone | 813-279-3990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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