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General NPI Number Information
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NPI Number | 1013933662
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Entity Type | Organization
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Legal Business Name | MICHAEL PALENCHAR
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1504F PEMBERTON DR
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City | SALISBURY
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State | MD
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Zip | 21801-2475
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Country | US
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Telephone | 410-714-3903
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Fax |
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Provider Business Mailing Address
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Address Line | 1504F PEMBERTON DR
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City | SALISBURY
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State | MD
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Zip | 21801-2475
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Country | US
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Telephone | 410-714-3903
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MICHAEL THOMAS PALENCHAR
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Credential | P.T.
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Telephone | 410-714-3903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 21836
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License Number State | MD
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