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General NPI Number Information
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NPI Number | 1952739740
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Entity Type | Individual
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Provider Name | MICHELLE LYNN TROTTER APRN
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Gender | Female
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Dates
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Enumeration Date | 10/15/2013
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2110 THE WOODS DR
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City | JACKSONVILLE
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State | FL
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Zip | 32246-1016
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Country | US
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Telephone | 561-441-8198
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Fax |
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Provider Business Mailing Address
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Address Line | 12181 QUILTING LN
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City | BOCA RATON
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State | FL
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Zip | 33428-4636
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP 9264928
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License Number State | FL
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