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General NPI Number Information
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NPI Number | 1225188683
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Entity Type | Organization
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Legal Business Name | TAMARA & JEFFREY PLOTKIN
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 8111 CANOGA AVE
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City | CANOGA PARK
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State | CA
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Zip | 91304-4103
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Country | US
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Telephone | 818-887-0651
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Fax | 818-887-5620
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Provider Business Mailing Address
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Address Line | 8111 CANOGA AVE
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City | CANOGA PARK
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State | CA
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Zip | 91304-4103
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Country | US
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Telephone | 818-887-0651
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Fax | 818-887-5620
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY DAVID PLOTKIN
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Credential | D.C.
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Telephone | 818-887-0651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC21473
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License Number State | CA
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