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General NPI Number Information
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NPI Number | 1023628963
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Entity Type | Organization
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Legal Business Name | PAUL F PALUMBO
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 421 BROAD ST STE 14
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City | UTICA
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State | NY
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Zip | 13501-1210
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Country | US
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Telephone | 315-271-9346
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Fax | 315-507-2449
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Provider Business Mailing Address
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Address Line | 421 BROAD ST STE 14
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City | UTICA
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State | NY
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Zip | 13501-1210
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Country | US
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Telephone | 315-271-9346
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Fax | 315-507-2449
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL F PALUMBO
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Credential | MD
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Telephone | 315-723-0104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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