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General NPI Number Information
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NPI Number | 1376487397
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Entity Type | Individual
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Provider Name | YONNETTE ANN RHIUS PLUCK
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Gender | Female
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Dates
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Enumeration Date | 04/18/2026
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Last Update Date | 04/18/2026
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Provider Practice Location Address
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Address Line | 25 POE AVE FL 2
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City | NEWARK
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State | NJ
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Zip | 07106-1507
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Country | US
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Telephone | 973-978-0210
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Fax |
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Provider Business Mailing Address
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Address Line | 25 POE AVE
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City | NEWARK
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State | NJ
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Zip | 07106-1507
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Country | US
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Telephone | 973-978-0210
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 1804849241
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License Number State | NY
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