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General NPI Number Information
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NPI Number | 1588984751
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Entity Type | Individual
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Provider Name | ADAM LEVI TROTTA MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 621 W MADRONE ST
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City | ROSEBURG
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State | OR
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Zip | 97470-3090
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Country | US
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Telephone | 541-229-8934
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1121
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City | ROSEBURG
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State | OR
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Zip | 97470-0254
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P2549
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | P2549
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD184793
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A132993
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | MD184793
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | A132993
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License Number State | CA
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