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General NPI Number Information
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NPI Number | 1326184169
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Entity Type | Individual
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Provider Name | DAVID R PLOCKI DMD
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 25460 MEDICAL CENTER DR SUITE 201
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City | MURRIETA
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State | CA
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Zip | 92562-5985
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Country | US
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Telephone | 951-698-4681
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Fax |
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Provider Business Mailing Address
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Address Line | 113 MORRO HILLS RD
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City | FALLBROOK
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State | CA
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Zip | 92028-9202
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Country | US
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Telephone | 760-728-3677
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 32649
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License Number State | CA
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