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General NPI Number Information
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NPI Number | 1831918200
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Entity Type | Organization
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Legal Business Name | NOLA TROSSMAN, ADVANCED REGISTERED NURSE PRACTIONER, LLC
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 1627 US HIGHWAY 1 STE 205
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City | SEBASTIAN
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State | FL
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Zip | 32958-3464
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Country | US
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Telephone | 321-298-6549
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Fax |
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Provider Business Mailing Address
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Address Line | 1627 US HIGHWAY 1 STE 205
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City | SEBASTIAN
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State | FL
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Zip | 32958-3464
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Country | US
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Telephone | 321-298-6549
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NOLA TROSSMAN
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Credential | APRN, FNP, PMHNP
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Telephone | 772-588-4818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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