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General NPI Number Information
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NPI Number | 1801556014
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Entity Type | Individual
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Provider Name | MARK ADAMS TROSCHINETZ LCDC, SAP, ADC, CART
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Gender | Male
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 3106 W KENTUCKY AVE
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City | MIDLAND
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State | TX
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Zip | 79701-7124
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Country | US
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Telephone | 432-557-6921
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Fax | 888-804-2543
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Provider Business Mailing Address
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Address Line | 2403 W SHANDON AVE
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City | MIDLAND
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State | TX
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Zip | 79705-6338
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Country | US
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Telephone | 432-557-6921
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Fax | 888-804-2543
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 11202
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License Number State | TX
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