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General NPI Number Information
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NPI Number | 1609966886
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Entity Type | Individual
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Provider Name | RICHARD IVAN PLOTZKER MD
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1011 W BALTIMORE PIKE SUITE 210
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City | WEST GROVE
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State | PA
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Zip | 19390-9402
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Country | US
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Telephone | 610-869-2224
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Fax | 610-869-1481
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Provider Business Mailing Address
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Address Line | 213 REECEVILLE RD SUITE 17
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City | COATESVILLE
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State | PA
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Zip | 19320-1573
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Country | US
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Telephone | 610-384-2021
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Fax | 610-384-7029
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD014709E
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License Number State | PA
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