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General NPI Number Information
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NPI Number | 1750358263
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Entity Type | Individual
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Provider Name | WILLIAM CLIFTON TROUT DPM
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Gender | Male
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 217 NORTH ST
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City | MEADVILLE
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State | PA
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Zip | 16335-3322
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Country | US
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Telephone | 814-333-9196
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Fax | 814-333-9196
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Provider Business Mailing Address
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Address Line | 217 NORTH ST
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City | MEADVILLE
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State | PA
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Zip | 16335-3322
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Country | US
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Telephone | 814-333-9196
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Fax | 814-333-9196
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC002086L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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