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NPI 1104818004

NPI 1104818004 : VICTOR M. PLAVNER M.D. : ARNOLD, MD

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General NPI Number Information
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    NPI Number           |    1104818004
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    Entity Type          |    Individual 
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    Provider Name        |    VICTOR M. PLAVNER M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/17/2005
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    Last Update Date     |    03/14/2025
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Provider Practice Location Address
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    Address Line         |    1509 RITCHIE HWY 
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    City                 |    ARNOLD
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    State                |    MD
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    Zip                  |    21012-2742
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    Country              |    US
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    Telephone            |    410-757-7600
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    Fax                  |    410-626-8043
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Provider Business Mailing Address
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    Address Line         |    7580 BUCKINGHAM BLVD STE 220 
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    City                 |    HANOVER
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    State                |    MD
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    Zip                  |    21076-3210
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    Country              |    US
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    Telephone            |    410-729-5100
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    D0028686
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    License Number State |    MD
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