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General NPI Number Information
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NPI Number | 1811906290
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Entity Type | Individual
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Provider Name | ROBERT R PLYMYER M.S., L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 6810 E BROADWAY BLVD SUITE 102
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City | TUCSON
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State | AZ
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Zip | 85710-2838
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Country | US
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Telephone | 520-302-4116
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Fax | 855-831-9202
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Provider Business Mailing Address
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Address Line | 6810 E BROADWAY BLVD SUITE 102
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City | TUCSON
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State | AZ
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Zip | 85710-2838
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Country | US
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Telephone | 520-302-4116
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Fax | 855-831-9202
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PC003521
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-15399
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License Number State | AZ
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