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General NPI Number Information
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NPI Number | 1639102247
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Entity Type | Individual
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Provider Name | TAYLOR SOMERS TROISCHT M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 608 CHEAT RD
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City | MORGANTOWN
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State | WV
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Zip | 26508-4210
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Country | US
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Telephone | 304-594-1313
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Fax | 304-594-2408
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Provider Business Mailing Address
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Address Line | PO BOX 1127
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City | MORGANTOWN
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State | WV
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Zip | 26507-1127
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Country | US
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Telephone | 304-598-4032
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Fax | 304-598-4143
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 21570
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License Number State | WV
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