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General NPI Number Information
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NPI Number | 1285908954
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Entity Type | Individual
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Provider Name | KATHERN LEE PLENGE M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 5900 E VIA DEL CIELO
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-8106
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Country | US
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Telephone | 480-948-0406
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 E VIA DEL CIELO
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-8106
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Country | US
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Telephone | 480-948-0406
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 05237
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License Number State | AZ
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