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General NPI Number Information
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NPI Number | 1710124748
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Entity Type | Organization
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Legal Business Name | DR. MOLLY B. TROSTLE, DO, INTERNAL MEDICINE, INC.
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 01/25/2009
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Provider Practice Location Address
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Address Line | 881 HILLS PLZ SUITE530
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City | EBENSBURG
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State | PA
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Zip | 15931-4213
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Country | US
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Telephone | 814-419-8084
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Fax | 814-419-8053
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Provider Business Mailing Address
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Address Line | 881 HILLS PLZ SUITE 530
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City | EBENSBURG
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State | PA
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Zip | 15931-4213
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Country | US
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Telephone | 814-419-8084
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Fax | 814-419-8053
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. MOLLY B. TROSTLE
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Credential | DO
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Telephone | 814-419-8084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | OS-011902
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License Number State | PA
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