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General NPI Number Information
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NPI Number | 1972557254
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Entity Type | Individual
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Provider Name | PAUL RICHARD PLUCKER M.S., CCC-A
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 433 FRYE FARM RD CENTRAL MEDICAL ARTS BLDG
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City | GREENSBURG
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State | PA
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Zip | 15601-6480
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Country | US
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Telephone | 724-539-3750
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Fax | 724-539-3751
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Provider Business Mailing Address
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Address Line | 1000 VALLEYVIEW DR
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City | LATROBE
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State | PA
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Zip | 15650-4721
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Country | US
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Telephone | 724-537-3706
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AT000051L
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License Number State | PA
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