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General NPI Number Information
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NPI Number | 1538480678
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Entity Type | Organization
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Legal Business Name | DR. DAVID PLOTKIN P.A.
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 619 MORRIS AVENUE
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-1511
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Country | US
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Telephone | 973-379-9333
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Fax | 973-215-1668
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Provider Business Mailing Address
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Address Line | 619 MORRIS AVENUE
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-1511
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Country | US
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Telephone | 973-379-9333
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Fax | 973-215-1668
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DAVID PLOTKIN
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Credential | FACFAS
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Telephone | 973-379-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 000972
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License Number State | NJ
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