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General NPI Number Information
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NPI Number | 1437215407
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Entity Type | Individual
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Provider Name | ADINA TROTMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 103 E 125TH ST 4TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10035-1641
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Country | US
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Telephone | 212-774-3204
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Fax | 212-996-3502
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Provider Business Mailing Address
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Address Line | 103 E 125TH ST 4TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10035-1641
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Country | US
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Telephone | 212-774-3204
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Fax | 212-996-3502
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 011355
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License Number State | NY
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