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General NPI Number Information
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NPI Number | 1932576832
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Entity Type | Individual
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Provider Name | CHAVONNE TROUTMAN MSW, RCSWI
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Gender | Female
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 7950 NW 22ND AVE
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City | MIAMI
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State | FL
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Zip | 33147-4964
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Country | US
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Telephone | 305-456-5217
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Fax |
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Provider Business Mailing Address
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Address Line | 9410 ATLANTIC ST
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City | MIRAMAR
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State | FL
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Zip | 33025-4251
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW 8929
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License Number State | FL
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