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General NPI Number Information
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NPI Number | 1528249729
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Entity Type | Individual
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Provider Name | MICHELLE A TROISE MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 1600 ROCKLAND ROAD BOX 269
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City | WILMINGTON
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State | DE
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Zip | 19899-6911
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Country | US
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Telephone | 302-651-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 670 METRO CT
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City | WEST CHESTER
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State | PA
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Zip | 19380-1765
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | O1-0001034
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License Number State | DE
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