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General NPI Number Information
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NPI Number | 1215680780
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Entity Type | Organization
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Legal Business Name | DAVID L. TROTTER MD PLLC
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 855 W BELMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60657-4401
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Country | US
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Telephone | 202-276-8191
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Fax |
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Provider Business Mailing Address
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Address Line | 855 W BELMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60657-4401
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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 | SOLE MEMBER
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Name | DAVID TROTTER
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Credential | MD
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Telephone | 202-276-8191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number |
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License Number State |
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