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General NPI Number Information
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NPI Number | 1134519754
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Entity Type | Individual
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Provider Name | EDMUND PLUMMER M.A.
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Gender | Male
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 3675 MARKET ST STE 2001
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2897
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Country | US
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Telephone | 267-982-6539
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Fax |
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Provider Business Mailing Address
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Address Line | 911 HARVEY RD
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City | CLAYMONT
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State | DE
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Zip | 19703-1209
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Country | US
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Telephone | 215-847-9116
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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