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General NPI Number Information
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NPI Number | 1235513649
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Entity Type | Organization
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Legal Business Name | RICHARD L. PLASCH, DDS, INC.
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 30048 MISSION BLVD STE 232
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City | HAYWARD
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State | CA
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Zip | 94544-7254
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Country | US
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Telephone | 510-471-5521
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Fax | 510-471-8619
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Provider Business Mailing Address
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Address Line | 30048 MISSION BLVD STE 232
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City | HAYWARD
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State | CA
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Zip | 94544-7254
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Country | US
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Telephone | 510-471-5521
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Fax | 510-471-8619
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD LEWIS PLASCH
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Credential | D.D.S.
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Telephone | 510-471-5521
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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 | 17368
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License Number State | CA
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