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1972557254 NPI number — PAUL RICHARD PLUCKER M.S., CCC-A

NPI Number: 1972557254
Health Care Provider/Practitioner: PAUL RICHARD PLUCKER M.S., CCC-A

Information about “1972557254” NPI (PAUL RICHARD PLUCKER M.S., CCC-A) exists in 1972557254 in HTML format HTML  |  1972557254 in plain Text format TXT  |  1972557254 in PDF (Portable Document Format) PDF  |  1972557254 in an XML format XML  formats.

NPI Number : 1972557254 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972557254",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PLUCKER",
    "FirstName": "PAUL",
    "MiddleName": "RICHARD",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., CCC-A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1000 VALLEYVIEW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LATROBE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15650-4721",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "724-537-3706",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "433 FRYE FARM RD",
    "SecondLinePracticeLocationAddress": "CENTRAL MEDICAL ARTS BLDG",
    "PracticeLocationAddressCityName": "GREENSBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15601-6480",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "724-539-3750",
    "PracticeLocationAddressFaxNumber": "724-539-3751",
    "EnumerationDate": "05/20/2006",
    "LastUpdateDate": "07/13/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "237600000X",
        "TaxonomyName": "Audiologist-Hearing Aid Fitter",
        "LicenseNumber": "AT000051L",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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