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General NPI Number Information
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NPI Number | 1346181047
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Entity Type | Individual
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Provider Name | RICHARD ROBERT TROSPER
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Gender | Male
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 3941 W AINSLIE ST APT F
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City | CHICAGO
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State | IL
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Zip | 60625-6177
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Country | US
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Telephone | 773-939-0296
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Fax |
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Provider Business Mailing Address
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Address Line | 3941 W AINSLIE ST
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City | CHICAGO
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State | IL
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Zip | 60625-3882
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Country | US
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Telephone | 773-939-0296
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209.035117
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License Number State | IL
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