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General NPI Number Information
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NPI Number | 1952731242
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Entity Type | Organization
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Legal Business Name | STEVEN T PLOMARITIS P L L C
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 28001 SCHOENHERR RD SUITE 3
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City | WARREN
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State | MI
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Zip | 48088-4396
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Country | US
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Telephone | 586-558-9500
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Fax | 586-558-9501
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Provider Business Mailing Address
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Address Line | 28001 SCHOENHERR RD SUITE 3
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City | WARREN
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State | MI
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Zip | 48088-4396
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Country | US
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Telephone | 586-558-9500
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Fax | 586-558-9501
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | STEVEN TITUS PLOMARITIS
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Credential | D O
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Telephone | 586-558-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State | MI
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