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General NPI Number Information
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NPI Number | 1609391234
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Entity Type | Organization
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Legal Business Name | DR. SUSIE O. TROXLER INC
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 08/04/2017
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Provider Practice Location Address
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Address Line | 3405 W WENDOVER AVE STE E
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City | GREENSBORO
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State | NC
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Zip | 27407-1525
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Country | US
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Telephone | 336-324-1610
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Fax | 800-699-7219
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Provider Business Mailing Address
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Address Line | PO BOX 41105
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City | GREENSBORO
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State | NC
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Zip | 27404-1105
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Country | US
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Telephone | 336-324-1610
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Fax | 800-699-7219
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUSIE OZETTA TROXLER
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Credential | PHD
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Telephone | 336-324-1610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2790
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License Number State | NC
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