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General NPI Number Information
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NPI Number | 1457215493
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Entity Type | Organization
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Legal Business Name | PLACIK MD, P.C.
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 29000 S WESTERN AVE STE 202
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-0815
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Country | US
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Telephone | 424-241-3008
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Fax |
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Provider Business Mailing Address
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Address Line | 29000 S WESTERN AVE STE 202
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-0815
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Country | US
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Telephone | 424-241-3008
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL ALEXANDER PLACIK
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Credential | MD
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Telephone | 424-241-3008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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