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General NPI Number Information
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NPI Number | 1780879643
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Entity Type | Individual
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Provider Name | GERAD A TROUTMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 602 INDIANA AVE
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City | LUBBOCK
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State | TX
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Zip | 79415
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Country | US
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Telephone | 806-775-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 4013 111TH ST
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City | LUBBOCK
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State | TX
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Zip | 79423-0897
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Country | US
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Telephone | 940-642-0100
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | T-2035
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | N8863
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N8863
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License Number State | TX
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