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General NPI Number Information
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NPI Number | 1215244967
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Entity Type | Individual
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Provider Name | DARCY T TROTTER APRN-BC
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Gender | Male
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 3650 N UNIVERSITY AVE STE 150
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City | PROVO
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State | UT
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Zip | 84604-6636
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Country | US
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Telephone | 801-818-1940
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Fax | 801-818-1945
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Provider Business Mailing Address
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Address Line | 646 W 400 S
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City | PAYSON
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State | UT
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Zip | 84651-2405
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Country | US
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Telephone | 801-465-9363
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5643732-4405
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License Number State | UT
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