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General NPI Number Information
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NPI Number | 1023241502
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Entity Type | Individual
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Provider Name | JENNIFER PALMIOTTO M.A., MFT
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Gender | Female
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Dates
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Enumeration Date | 08/31/2009
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Last Update Date | 01/04/2011
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Provider Practice Location Address
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Address Line | 2907 SHELTER ISLAND DR SUITE 216
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City | SAN DIEGO
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State | CA
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Zip | 92106-2743
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Country | US
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Telephone | 619-301-3452
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Fax | 619-224-9508
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Provider Business Mailing Address
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Address Line | 3405 WISTERIA DR
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City | SAN DIEGO
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State | CA
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Zip | 92106-1147
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Country | US
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Telephone | 619-301-3452
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Fax | 619-224-9508
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 47573
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 47573
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License Number State | CA
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