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NPI Code Detail

MEDICARE: SHAWN K TROUTMAN

MEDICARE: SHAWN K TROUTMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLPL5105AZ

General Provider Information

NPI Number : 1063596237
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN K TROUTMAN
Provider Business Mailing Address
First Line : 2163 E REDWOOD DR
Second Line :
City : CHANDLER
State : AZ
Zip : 85249-2753
Country : US
Telephone Number : 602-791-0934
Fax Number :
Provider Business Practice Location Address
First Line : 235 W WESTERN AVE
Second Line :
City : AVONDALE
State : AZ
Zip : 85323-1848
Country : US
Telephone Number : 602-791-0934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 07/08/2007

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Directions to “ SHAWN K TROUTMAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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