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General NPI Number Information
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NPI Number | 1912685538
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Entity Type | Individual
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Provider Name | JULIET ALICIA PLUCINIK OD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 03/01/2025
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Provider Practice Location Address
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Address Line | 599 FARMINGTON AVE STE 201
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City | FARMINGTON
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State | CT
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Zip | 06032-2383
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Country | US
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Telephone | 860-837-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 86 WHITE OAK AVE
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City | PLAINVILLE
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State | CT
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Zip | 06062-2528
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Country | US
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Telephone | 860-302-8478
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3300
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License Number State | CT
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