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General NPI Number Information
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NPI Number | 1134465131
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Entity Type | Organization
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Legal Business Name | MARSHA PLATER AND ASSOCIATES
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Dates
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Enumeration Date | 12/19/2012
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Last Update Date | 12/19/2012
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Provider Practice Location Address
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Address Line | 2553 SOLOMONS ISLAND ROAD
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City | HUNTINGTOWN
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State | MD
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Zip | 20639
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Country | US
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Telephone | 410-535-1990
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Fax | 301-855-9119
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Provider Business Mailing Address
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Address Line | PO BOX 483 2553 NORTH SOLOMONS ISLAND ROAD
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City | HUNTINGTOWN
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State | MD
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Zip | 20639-0483
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Country | US
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Telephone | 410-535-1990
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Fax | 301-855-9119
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Authorized Official
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Title or Position | CONTRACT & CREDENTIALING COORD
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Name | MARIEL CONNELL
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Credential |
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Telephone | 410-414-4791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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