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General NPI Number Information
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NPI Number | 1821090739
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Entity Type | Individual
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Provider Name | COLIN R TROUT M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 6127 N LA CHOLLA BLVD STE 175
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City | TUCSON
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State | AZ
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Zip | 85741-3747
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Country | US
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Telephone | 520-308-5047
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Fax | 520-308-5274
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Provider Business Mailing Address
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Address Line | PO BOX 43100
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City | TUCSON
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State | AZ
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Zip | 85733-3100
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Country | US
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Telephone | 520-308-5047
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Fax | 520-308-5274
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 29660
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License Number State | AZ
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