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General NPI Number Information
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NPI Number | 1053376178
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Entity Type | Organization
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Legal Business Name | PALM DENTISTRY,P.C.
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 470 COLUMBIA DR. SUITE E-101
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City | WEST PALM BEACH
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State | FL
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Zip | 33409
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Country | US
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Telephone | 561-684-9990
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Fax | 561-478-1228
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Provider Business Mailing Address
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Address Line | 470 COLUMBIA DR. SUITE E-101
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City | WEST PALM BEACH
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State | FL
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Zip | 33409
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Country | US
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Telephone | 561-684-9990
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Fax | 561-478-1228
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT BOWMAN
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Credential | D.D.S.
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Telephone | 561-684-9990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7085
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License Number State | FL
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