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General NPI Number Information
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NPI Number | 1487570529
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Entity Type | Organization
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Legal Business Name | TROUTT MEDICAL CLINIC LLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 119 MEDICAL CIR STE 1
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City | NASHVILLE
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State | AR
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Zip | 71852-8613
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Country | US
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Telephone | 870-912-6027
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Fax | 870-912-6026
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Provider Business Mailing Address
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Address Line | 119 MEDICAL CIR STE 1
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City | NASHVILLE
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State | AR
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Zip | 71852-8613
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Country | US
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Telephone | 870-912-6027
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Fax | 870-912-6026
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL A TROUTT
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Credential | NP
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Telephone | 870-557-5718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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