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General NPI Number Information
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NPI Number | 1770703605
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Entity Type | Individual
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Provider Name | DANIEL LOUIS PLOTKIN MSW
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Gender | Male
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 243 KING ST SUITE 242
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City | NORTHAMPTON
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State | MA
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Zip | 01060-2451
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Country | US
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Telephone | 413-584-0265
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Fax | 413-584-2031
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Provider Business Mailing Address
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Address Line | 96 WOODS RD
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City | NORTHAMPTON
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State | MA
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Zip | 01062-3500
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Country | US
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Telephone | 413-586-2886
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Fax | 413-587-0177
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1019476
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License Number State | MA
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