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General NPI Number Information
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NPI Number | 1992725543
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Entity Type | Individual
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Provider Name | RICARDO JOSE PLASENCIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8000 W FLAGLER ST SUITE 202
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City | MIAMI
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State | FL
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Zip | 33144-2153
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Country | US
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Telephone | 305-264-3989
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Fax | 305-265-1929
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Provider Business Mailing Address
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Address Line | 11000 SW 62ND AVE
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City | MIAMI
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State | FL
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Zip | 33156-4002
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Country | US
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Telephone | 305-665-9277
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Fax | 305-265-1929
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME48052
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License Number State | FL
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