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General NPI Number Information
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NPI Number | 1598944472
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Entity Type | Organization
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Legal Business Name | PLUMERIA, INCORPORATED
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 506 S INDEPENDENCE BLVD STE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1154
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Country | US
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Telephone | 757-227-3401
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Fax | 757-227-3285
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Provider Business Mailing Address
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Address Line | 4600 DORCHESTER LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-5840
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Country | US
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Telephone | 757-227-3401
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Fax | 757-227-3285
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. PATRICIA SUSAN JAMES
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Credential | D.D.S.
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Telephone | 757-227-3401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401008832
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License Number State | VA
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