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General NPI Number Information
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NPI Number | 1619212057
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Entity Type | Individual
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Provider Name | LEE F PLASKETT D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/11/2012
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 3646 S REDWOOD RD
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-3800
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Country | US
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Telephone | 801-347-1789
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Fax |
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Provider Business Mailing Address
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Address Line | 9776 S LAURA LANE DR
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City | SANDY
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State | UT
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Zip | 84092-3550
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Country | US
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Telephone | 801-347-1789
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 165922-1202
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License Number State | UT
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