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General NPI Number Information
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NPI Number | 1831650308
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Entity Type | Organization
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Legal Business Name | JULIE C. PLANTE, MD, INC.
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 864 2ND ST STE B
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City | SANTA ROSA
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State | CA
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Zip | 95404-4610
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Country | US
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Telephone | 707-542-5664
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Fax | 707-542-6887
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Provider Business Mailing Address
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Address Line | PO BOX 5454
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City | SANTA ROSA
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State | CA
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Zip | 95402-5454
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Country | US
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Telephone | 415-260-3824
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Fax | 707-542-6887
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Authorized Official
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Title or Position | DERMATOLOGIST/OWNER
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Name | DR. JULIE CHRISTINE PLANTE
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Credential | MD
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Telephone | 707-542-5664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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