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General NPI Number Information
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NPI Number | 1215284625
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Entity Type | Individual
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Provider Name | TROUSKY THERRIEN CASALINOVO M.S.
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Gender | Female
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 8866 MYRTLE AVE
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City | GLENDALE
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State | NY
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Zip | 11385-7857
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Country | US
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Telephone | 718-850-0400
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Fax | 718-850-4441
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Provider Business Mailing Address
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Address Line | 8572 114TH ST
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City | RICHMOND HILL
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State | NY
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Zip | 11418-1754
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Country | US
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Telephone | 718-406-2277
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 615966121
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License Number State | NY
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