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General NPI Number Information
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NPI Number | 1285621110
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Entity Type | Individual
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Provider Name | STANFORD R. PLAVIN MD
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Gender | Male
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 5825 GLENRIDGE DRIVE, BUILDING 3 SUITE 101-123
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City | ATLANTA
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State | GA
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Zip | 30328-3032
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Country | US
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Telephone | 404-242-6360
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Fax | 404-549-2853
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Provider Business Mailing Address
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Address Line | 438 TARA TRL
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City | ATLANTA
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State | GA
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Zip | 30327-4926
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Country | US
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Telephone | 404-242-6360
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Fax | 404-549-2853
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 17526
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G136300
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 39201
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License Number State | GA
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