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General NPI Number Information
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NPI Number | 1649263625
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Entity Type | Individual
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Provider Name | TERRY LEE TROUTT MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 136 PROFESSIONAL AVE STE 8
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City | WINCHESTER
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State | KY
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Zip | 40391-1116
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Country | US
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Telephone | 859-744-9252
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Fax | 859-744-9118
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Provider Business Mailing Address
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Address Line | 136 PROFESSIONAL AVE STE 8
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City | WINCHESTER
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State | KY
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Zip | 40391-1116
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Country | US
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Telephone | 859-744-9252
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Fax | 859-744-9118
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 31418
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 31418
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License Number State | KY
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