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General NPI Number Information
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NPI Number | 1295815041
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Entity Type | Organization
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Legal Business Name | WILLIAM R. TROUP M.D.
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 101 E GREENWOOD AVENUE NORTH
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City | JOHNSON
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State | KS
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Zip | 67855-0699
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Country | US
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Telephone | 620-492-6230
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Fax | 620-492-2309
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Provider Business Mailing Address
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Address Line | PO BOX 699 101 E GREENWOOD AVE
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City | JOHNSON
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State | KS
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Zip | 67855-0699
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Country | US
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Telephone | 620-492-6230
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Fax | 620-492-2309
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM ROGER TROUP
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Credential | M.D.
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Telephone | 620-492-6230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 14677
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License Number State | KS
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