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General NPI Number Information
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NPI Number | 1215960877
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Entity Type | Individual
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Provider Name | RONALD L PLEIS DDS
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Gender | Male
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 2200 FORT ROOTS DR
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72114-1709
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Country | US
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Telephone | 501-257-2200
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Fax | 501-257-2222
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Provider Business Mailing Address
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Address Line | 2200 FORT ROOTS DR
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72114-1709
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 105005
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License Number State | CO
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