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General NPI Number Information
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NPI Number | 1164951299
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Entity Type | Organization
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Legal Business Name | F.H.PLOCH, MD,INC
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 06/12/2017
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Provider Practice Location Address
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Address Line | 1020 NUT TREE RD STE 190
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City | VACAVILLE
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State | CA
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Zip | 95687-4100
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Country | US
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Telephone | 707-624-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 154 GRIFFEN LN
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City | NAPA
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State | CA
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Zip | 94558-7024
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Country | US
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Telephone | 707-252-7729
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Fax |
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Authorized Official
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Title or Position | INCORPORATOR
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Name | DR. FLORIAN HERBERT PLOCH
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Credential | MD
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Telephone | 707-624-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number | C35122
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License Number State | CA
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