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General NPI Number Information
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NPI Number | 1386664084
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Entity Type | Individual
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Provider Name | ELLIOT L. PLOTKIN DPM
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 201 S BUENA VISTA ST STE 305
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City | BURBANK
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State | CA
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Zip | 91505-4569
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Country | US
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Telephone | 818-848-5588
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Fax |
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Provider Business Mailing Address
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Address Line | 8510 BALBOA BLVD STE 150
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City | NORTHRIDGE
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State | CA
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Zip | 91325-5810
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Country | US
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Telephone | 818-848-5588
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD00166000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E4775
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License Number State | CA
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