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General NPI Number Information
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NPI Number | 1902868268
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Entity Type | Individual
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Provider Name | ALICE T PLUMMER MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 1035 PLACER ST
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City | REDDING
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State | CA
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Zip | 96001-1170
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Country | US
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Telephone | 530-246-5710
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Fax |
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Provider Business Mailing Address
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Address Line | 159 WATCHUNG AVE
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City | MONTCLAIR
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State | NJ
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Zip | 07043-1712
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Country | US
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Telephone | 973-783-0099
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C1-0008456
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MA 042335
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C143188
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License Number State | CA
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