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General NPI Number Information
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NPI Number | 1366149791
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Entity Type | Organization
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Legal Business Name | TRUSTT MEDICAL PLLC
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 240 S MAIN ST
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City | BENTONVILLE
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State | AR
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Zip | 72712-5963
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Country | US
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Telephone | 479-633-9313
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Fax |
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Provider Business Mailing Address
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Address Line | 5962 W COUNTY LINE RD
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City | SPRINGDALE
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State | AR
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Zip | 72762-8443
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Country | US
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Telephone | 479-633-9313
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. SCOTT MUSICK
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Credential | DO
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Telephone | 479-685-8470
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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 |
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License Number State |
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